Active NPI
Adena Zlochower, PHD
- Clinical Psychologist
- Beachwood, OH
National Provider Identifier
1255569190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6801
- Practice address
- 25550 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5638 - Phone
- (216) 765-0500
- Fax
- (216) 765-0521
- NPI assigned
- Jun 30, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6801 | OH | Primary |
Addresses
Primary practice location
25550 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5638
Mailing address
25550 Chagrin Blvd
Suite 200
Beachwood, OH 44122-5638
Phone (216) 765-0500
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801 | OH | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1246320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311033600000",
"number": "1255569190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25550 CHAGRIN BLVD",
"address_2": "SUITE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225638",
"telephone_number": "216-765-0500",
"fax_number": "216-765-0521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25550 CHAGRIN BLVD",
"address_2": "SUITE 200",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441225638",
"telephone_number": "216-765-0500",
"fax_number": "216-765-0521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZLOCHOWER",
"first_name": "ADENA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-30",
"last_updated": "2011-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6801",
"primary": true
}
],
"identifiers": [],
"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 Jul 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.