Mirella P Auchus, PHD
Individual provider Active NPI Clinical Psychologist · Cleveland, OH
NPI 1275504656 · NPPES record last updated Feb 26, 2016
Key facts
- NPI
- 1275504656
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 6003 (OH)
- Practice address
- 2322 E 22ND St
#208
Cleveland, OH 44115 - Phone
- (216) 401-8232
- NPI assigned
- Feb 1, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6003 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychology Consultants Inc | Clinical | Past |
Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6003 | OH | Yes |
Addresses
Primary practice location
2322 E 22ND St
#208
Cleveland, OH 44115
Mailing address
6935 Treeline Dr
Ste J
Brecksville, OH 44141
Phone (440) 746-2213
Other providers in Cleveland, OH
- Isabella Atzemis
- John David Au
- Eric Aube
- Federico N Aucejo
- Kamdyn Auch
- Dennis H Auckley
- Ashley Audi
- Sandra Lynn Audley
- Sarah Ann Aufmuth
- Samara Auguste
All providers in Cleveland, OH · Clinical Psychologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.