Kenneth Gerstenhaber, PH.D

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

2995 Issued in OH

Practice address

5035 Mayfield Rd
212
Lyndhurst, OH 44124-2688

Phone

(216) 292-9306

Fax

(216) 464-3950

NPI assigned

Apr 5, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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

• Psychological & Behavioral Consultants, LLC

  dba LifeStance Health

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1811915713
  NPD

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1245292127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD",
            "address_2": "212",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242688",
            "telephone_number": "216-292-9306",
            "fax_number": "216-464-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5035 MAYFIELD RD",
            "address_2": "212",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242688",
            "telephone_number": "216-292-9306",
            "fax_number": "216-464-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSTENHABER",
        "first_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "2995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0444497",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Iris Gans, DDS
• Nicole Garinger
• Ashley Rabin Garson, CCC-SLP
• Alyssa Gelb-Hilliard, OTR/L
• Michele Ann George, RN
• Lincoln D Gisel, C.R.N.A.
• Giselle Lander OD Inc (Hillcrest Family Vision)
• James Giulitto, C.R.N.A.
• Jane A Godfrey, PHD LISW
• Kevin Goehring

• Cognitive & Behavioral Psychologist in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Cognitive & Behavioral Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.