Individual provider Active NPI

Mini Menon, PH.D.

  • Counseling Psychologist
  • Strongsville, OH
National Provider Identifier
1295894129
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4994 Issued in OH
Practice address
14843 Sprague Road, Suite a
Strongsville, OH 44139
Phone
(440) 234-9955
Fax
(440) 234-5994
NPI assigned
Dec 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4994 OH Primary

Addresses

Primary practice location

14843 Sprague Road, Suite a
Strongsville, OH 44139

Mailing address

7360 Hillside Lane
Solon, OH 44136
Phone (440) 498-9651

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090706000000 OH Practitioner - Clinical Psychologist 8426109430 Reassigns benefits to 1 organization
Practice locations: Solon, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Strongsville Psychological Services, Inc.Group PAC ID 5193740801, 10 clinicians

Practice addresses (Care Compare)

6370 Som Ctr Rd
Suite 203
Solon, OH 44139-2991
Phone (440) 498-1870

7370 Engle Rd
Middleburg Heights, OH 44130-3429
Phone (440) 234-9955

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4994OHMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Strongsville Psychological Services, Inc. CurrentSince Oct 1, 1995 Accepting new patients

Locations

7370 Engle Rd
Middleburg Heights, OH 44130
Phone (440) 234-9955

14843 W Sprague Rd
Ste A
Strongsville, OH 44136
Phone (440) 234-9955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295894129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 HILLSIDE LANE",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "44136",
            "telephone_number": "440-498-9651",
            "fax_number": "440-234-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14843 SPRAGUE ROAD, SUITE A",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "44139",
            "telephone_number": "440-234-9955",
            "fax_number": "440-234-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENON",
        "first_name": "MINI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "4994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Strongsville, OH

Sources for this page

Verify at the official NPI Registry.