Individual provider Active NPI

Karin Merdes Tinnon

  • School Psychologist
  • East Cleveland, OH
National Provider Identifier
1265856207
Registry record updated Feb 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
CL1006994 Issued in OH
Practice address
1843 Stanwood Rd
East Cleveland, OH 44112-2901
Phone
(216) 268-6687
Fax
(216) 268-6480
NPI assigned
Feb 11, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X CL1006994 OH Primary

Addresses

Primary practice location

1843 Stanwood Rd
East Cleveland, OH 44112-2901

Mailing address

19426 Scottsdale Blvd
Shaker HTS, OH 44122-6420
Phone (216) 283-6416

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

State licenses

LicenseStateTypeSpecialty
CL1006994OHMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1392076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392076800000",
    "number": "1265856207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19426 SCOTTSDALE BLVD",
            "city": "SHAKER HTS",
            "state": "OH",
            "postal_code": "441226420",
            "telephone_number": "216-283-6416",
            "fax_number": "216-268-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1843 STANWOOD RD",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441122901",
            "telephone_number": "216-268-6687",
            "fax_number": "216-268-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINNON",
        "first_name": "KARIN",
        "middle_name": "MERDES",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-11",
        "last_updated": "2014-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "CL1006994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.