Individual provider Active NPI

Stephen M. Redle, PHD

  • Psychologist
  • Cuyahoga Falls, OH
National Provider Identifier
1346316742
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
5555 Issued in OH
Practice address
2321 2ND St
Cuyahoga Falls, OH 44221-2520
Phone
(330) 926-0760
Fax
(330) 926-1944
NPI assigned
Nov 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Psychologist 103T00000X 5555 OH Primary

Addresses

Primary practice location

2321 2ND St
Cuyahoga Falls, OH 44221-2520

Mailing address

2321 2ND St
Cuyahoga Falls, OH 44221-2520
Phone (330) 926-0760

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
I20050308000263 OH Practitioner - Clinical Psychologist 7416944780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2321 2ND St
Suite 118
Cuyahoga Falls, OH 44221-2575
Phone (330) 926-0760

3813 Fortuna Dr
Akron, OH 44312-5476
Phone (234) 294-0010

45 Chart Rd
Cuyahoga Falls, OH 44223-2821
Phone (330) 928-4500

849 N Aurora Rd
Aurora, OH 44202-9537
Phone (330) 562-3120

889 N Aurora Rd
Aurora, OH 44202-9537
Phone (330) 562-6171

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5555OHMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
FHS Brimfield, Inc. CurrentSince Nov 27, 2004 Accepting new patients
Redle Psychological Services LLC CurrentSince Apr 1, 2005 Accepting new patients
Bedford Anesthesiologists and Pain Management Past Accepting new patients
Psychological Transitions, Inc PastSince Apr 1, 1995 Accepting new patients

Locations

1621 Flickinger Rd
Akron, OH 44312
Phone (330) 784-1271

2321 2nd St
Ste 118
Cuyahoga Fls, OH 44221
Phone (330) 926-0760

939 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 926-0760

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346316742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 2ND ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-926-0760",
            "fax_number": "330-926-1944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 2ND ST",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-926-0760",
            "fax_number": "330-926-1944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDLE",
        "first_name": "STEPHEN",
        "middle_name": "M.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.