Organization Active NPI

Kent E Rozel, PH.D., LLC

  • Clinical Psychologist
  • Beachwood, OH
National Provider Identifier
1225670706
Registry record updated Dec 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
KENT E ROZEL, PH.D., LLC
Practice address
2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328
Phone
(216) 291-1845
NPI assigned
Oct 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kent Rozel, PH.D.
Title
Clinical Psychologist
Phone
(216) 291-1845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

2000 Auburn Dr Ste 200
Beachwood, OH 44122-4328

Mailing address

8340 Kinsman Rd
Novelty, OH 44072-9577
Phone (216) 291-1845

Other practice location 1

34950 Chardon Rd Ste 202
Willoughby Hills, OH 44094-9162
Phone (440) 510-5100

Other practice location 2

8340 Kinsman Rd
Novelty, OH 44072-9577
Phone (216) 291-1845

Other practice location 3

6100 Oak Tree Blvd Ste 200
Independence, OH 44131-6914
Phone (216) 291-1845

Other identifiers 2

IdentifierTypeStateIssuer
000000295650OtherOHANTHEM
0966674MedicaidOH

National Provider Directory

National Provider Directory

Locations

34950 Chardon Rd
Ste 202
Willoughby Hills, OH 44094
Phone (440) 477-1007

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1225670706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 KINSMAN RD",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729577",
            "telephone_number": "216-291-1845",
            "fax_number": "440-510-5151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 AUBURN DR STE 200",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224328",
            "telephone_number": "216-291-1845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34950 Chardon Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Willoughby Hills",
            "state": "OH",
            "postal_code": "440949162",
            "country_code": "US",
            "telephone_number": "440-510-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8340 Kinsman Rd",
            "address_purpose": "LOCATION",
            "city": "Novelty",
            "state": "OH",
            "postal_code": "440729577",
            "country_code": "US",
            "telephone_number": "216-291-1845",
            "fax_number": "440-510-5151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Oak Tree Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "OH",
            "postal_code": "441316914",
            "country_code": "US",
            "telephone_number": "216-291-1845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KENT E ROZEL, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "ROZEL",
        "authorized_official_first_name": "KENT",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-291-1845",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000295650",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0966674",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.