NPIMap

Organization Active NPI

Reserve Psychological Consultants Inc

  • Professional Counselor
  • Cuyahoga Falls, OH
National Provider Identifier
1255519187
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESERVE PSYCHOLOGICAL CONSULTANTS INC
Practice address
210 Portage Trail Ex W
Suite 101
Cuyahoga Falls, OH 44223-1205
Phone
(330) 929-1326
Fax
(330) 929-1327
NPI assigned
Feb 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2016

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

Authorized official

Name
Pamula K Michelson, PH DNPI 1851489165
Title
Psychologist
Phone
(330) 929-1326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

210 Portage Trail Ex W
Suite 101
Cuyahoga Falls, OH 44223-1205

Mailing address

210 Portage Trail Ex W
Suite 101
Cuyahoga Falls, OH 44223-1205
Phone (330) 929-1326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000006 OH Part B Supplier - Clinic/Group Practice 7012815178 Receives reassigned benefits from 3 practitioners
Practice locations: Cuyahoga Falls, OH

National Provider Directory

National Provider Directory

Locations

210 Portage Trail Ext W
Ste 101
Cuyahoga Falls, OH 44223
Phone (330) 929-1326

210 Portage Trail Ext W
Lowr
Cuyahoga Falls, OH 44223

96 Graham Rd
Ste A
Cuyahoga Falls, OH 44223
Phone (330) 929-1326

263 Portage Trail Ext W
Lowr
Cuyahoga Fls, OH 44223
Phone (330) 929-1326

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464652800000",
    "number": "1255519187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PORTAGE TRAIL EX W",
            "address_2": "SUITE 101",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231205",
            "telephone_number": "330-929-1326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PORTAGE TRAIL EX W",
            "address_2": "SUITE 101",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231205",
            "telephone_number": "330-929-1326",
            "fax_number": "330-929-1327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESERVE PSYCHOLOGICAL CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2016-05-31",
        "status": "A",
        "authorized_official_last_name": "MICHELSON",
        "authorized_official_first_name": "PAMULA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-929-1326",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.