Northeast Ohio Psychological Consultants, LTD.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

4295 Issued in OH

Legal business name

NORTHEAST OHIO PSYCHOLOGICAL CONSULTANTS, LTD.

Practice address

839 Southwestern Run
Poland, OH 44514-4688

Phone

(330) 758-3819

Fax

(330) 758-4965

NPI assigned

May 17, 2006

Last updated

May 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ronald James Lewellyn, PH.D.NPI 1881648491

Title

President

Phone

(330) 758-3819

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald James Lewellyn, PH.D.

  • Psychologist
  • Poland, OH
  • NPI 1881648491
  Medicare reassignment NPD Authorized official
• Mary Ann Echols, PHD

  • Counseling Psychologist
  • Youngstown, OH
  • NPI 1548273535
  NPD (past)
• Sandra Waddill Foster, PH.D.

  • Counseling Psychologist
  • Cortland, OH
  • NPI 1023076114
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493769600000",
    "number": "1396797387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "839 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144688",
            "telephone_number": "330-758-3819",
            "fax_number": "330-758-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445144688",
            "telephone_number": "330-758-3819",
            "fax_number": "330-758-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO PSYCHOLOGICAL CONSULTANTS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2017-05-03",
        "status": "A",
        "authorized_official_last_name": "LEWELLYN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-758-3819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OH",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER #",
            "identifier": "11389741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GM/PACKARD/CIGNA #",
            "identifier": "162919",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS #",
            "identifier": "334924",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS #",
            "identifier": "227276000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "CP03076",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE #",
            "identifier": "4295",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM #",
            "identifier": "000000248739",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sandy P Naples, DO
• Hilmer O. Negrete, M.D.
• John J Netto Jr., RPH
• Willina Newberry
• Georgeann Noble
• Northern Ohio Medical Specialists, LLC (Noms Afcc)
• Novacare Rehabilitation of Ohio, Inc. (NovaCare Rehabilitation)
• Michael Joseph O'Brien Jr., M.D.
• Rachel O'Neill, PH.D.
• Joseph Daniel Ogden, CRNA

• Clinic/Center in Poland, OH
• Providers in Poland, OH by specialty
• Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.