John Edward Alexander, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

62003504 Issued in OH

Practice address

2633 State Route 59
Suite E
Ravenna, OH 44266-1684

Phone

(330) 296-2809

Fax

(330) 296-2800

NPI assigned

Jun 28, 2006

Last updated

Apr 15, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alexander Professional

  • Clinical Psychologist
  • Ravenna, OH
  • NPI 1740387828
  Authorized official Same address or phone
• Universal Medical Administration

  • Podiatrist
  • Cleveland, OH
  • NPI 1669412201
  NPD (past)

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208217600000",
    "number": "1245267707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1474",
            "city": "KENT",
            "state": "OH",
            "postal_code": "442400028",
            "telephone_number": "330-296-2809",
            "fax_number": "330-296-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2633 STATE ROUTE 59",
            "address_2": "SUITE E",
            "city": "RAVENNA",
            "state": "OH",
            "postal_code": "442661684",
            "telephone_number": "330-296-2809",
            "fax_number": "330-296-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JOHN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "62003504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450962",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aging With Resilience
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• Robert Lee Alexander
• Pamela Louise Alkins
• All Things Creative Therapy LLC
• Rabeena Alli, PCC
• Noor Almudallal

• Psychologist in Ravenna, OH
• Providers in Ravenna, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.