Individual provider Active NPI

Barbara Joan Michelson, PH.D

  • Clinical Psychologist
  • Medina, OH
National Provider Identifier
1346207263
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4825 Issued in OH
Practice address
221 W Liberty St
Medina, OH 44256-2217
Phone
(330) 722-4166
Fax
(330) 725-5792
NPI assigned
Apr 26, 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
Clinical Psychologist 103TC0700X 4825 OH Primary

Addresses

Primary practice location

221 W Liberty St
Medina, OH 44256-2217

Mailing address

221 W Liberty St
Medina, OH 44256-2217
Phone (330) 722-4166

Other identifiers 1

IdentifierTypeStateIssuer
0975762MedicaidOH

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
I20150730012291 OH Practitioner - Clinical Psychologist 9830403120 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
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)

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
4825OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Jun 1, 2015 Accepting new patients
Strongsville Psychological Services, Inc. CurrentSince Nov 22, 2024 Accepting new patients
Family Statcare of Northeast Ohio, LLC Past Accepting new patients

Locations

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

221 W Liberty St
Medina, OH 44256
Phone (330) 410-8444

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

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346207263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442562217",
            "telephone_number": "330-722-4166",
            "fax_number": "330-725-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHELSON",
        "first_name": "BARBARA",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0975762",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.