Active NPI
Patricia Maskow Firem, PH.D.
- Counseling Psychologist
- Chardon, OH
National Provider Identifier
1437154721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 5127
- Practice address
- 401 South St
# 2B
Chardon, OH 44024-2805 - Phone
- (440) 285-8746
- Fax
- (440) 285-8746
- NPI assigned
- Jun 14, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 5127 | OH | Primary |
Addresses
Primary practice location
401 South St
# 2B
Chardon, OH 44024-2805
Mailing address
401 South St
# 2B
Chardon, OH 44024-2805
Phone (440) 285-8746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2181722 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5127 | OH | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345507200000",
"number": "1437154721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SOUTH ST",
"address_2": "# 2B",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242805",
"telephone_number": "440-285-8746",
"fax_number": "440-285-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH ST",
"address_2": "# 2B",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242805",
"telephone_number": "440-285-8746",
"fax_number": "440-285-8746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIREM",
"first_name": "PATRICIA",
"middle_name": "MASKOW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-14",
"last_updated": "2012-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "OH",
"license": "5127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2181722",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.