Myra Christensen Kawaguchi, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6107 Issued in OH

Practice address

1740 Cooper Foster Park
Lorain, OH 44053

Phone

(440) 282-1383

Fax

(440) 989-1265

NPI assigned

Aug 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Myra Jane Christensen Former name

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

University of Tennessee, HSC, College of Medicine, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Allied Behavioral Health Services, IncorporatedGroup PAC ID 5092713529, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Allied Behavioral Health Services, Incorporated

  • Psychologist
  • Fairview Park, OH
  • NPI 1902984248
  Medicare reassignment Care Compare group NPD
• Allied Behavioral Health Services, Incorporated

  • Community/Behavioral Health Agency
  • Fairview Park, OH
  • NPI 1942637491
  NPD (past)

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285647834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 CHARLES AVE",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440012084",
            "telephone_number": "440-984-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 COOPER FOSTER PARK",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "44053",
            "telephone_number": "440-282-1383",
            "fax_number": "440-989-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAWAGUCHI",
        "first_name": "MYRA",
        "middle_name": "CHRISTENSEN",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MYRA",
            "last_name": "CHRISTENSEN",
            "middle_name": "JANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kasra Karamlou, M.D.
• Mark Kaselak
• Jennifer Kassay, AUD
• Carter Kastner
• David Kathrein, LCDCIII
• Francis Kearney, M.D.
• Kafilat Idowu Kelani
• Brenna Jean Kelley, CNP
• Stephanie Kelley
• Mary Kelly, L.S.W.

• Clinical Psychologist in Lorain, OH
• Providers in Lorain, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.