Telepsych Ohio Corp

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

TELEPSYCH OHIO CORP

Doing business as

Telepsych Ohio

Practice address

10237 Berea Rd
Cleveland, OH 44102-2527

Phone

(216) 644-3296

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

David Fox

Title

Ceo

Phone

(216) 644-3296

Specialties & licenses 1

Addresses

Other names 1

• Telepsych Ohio Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1427685627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10237 BEREA RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10237 BEREA RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441022527",
            "telephone_number": "216-644-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELEPSYCH OHIO CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-644-3296"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "DavidFox@telepsychohio.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10237 Berea Rd",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441022527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Telepsych Ohio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kathryn Tekavec, CNP
• Kimberly Teknipp
• Theodoros N Teknos, MD
• Olga Telanova
• Kathryn Ann Telek, PHARMD
• Regina Telerman
• Amy Lynn Abenoja Teleron, M.D.
• Shawuan Telfair
• Reva Jean Telfer, LPCC-S
• Cheryl Marie Tell

• Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.