Individual provider Active NPI

Marian E. Krieger, PH.D.

  • Psychologist
  • Mayfield Village, OH
National Provider Identifier
1255413126
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4010 Issued in OH
Practice address
6700 Beta Drive
Suite 301
Mayfield Village, OH 44143-2361
Phone
(440) 446-9696
Fax
(440) 449-1435
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4010 OH Primary

Addresses

Primary practice location

6700 Beta Drive
Suite 301
Mayfield Village, OH 44143-2361

Mailing address

6700 Beta Drive
Suite 301
Mayfield Village, OH 44143-2361
Phone (440) 446-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4010OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sharon Rose-Rego, PH.D., LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1255413126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BETA DRIVE",
            "address_2": "SUITE 301",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-446-9696",
            "fax_number": "440-449-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 BETA DRIVE",
            "address_2": "SUITE 301",
            "city": "MAYFIELD VILLAGE",
            "state": "OH",
            "postal_code": "441432361",
            "telephone_number": "440-446-9696",
            "fax_number": "440-449-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIEGER",
        "first_name": "MARIAN",
        "middle_name": "E.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Village, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.