Constance Eleanor Rebich, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3146 Issued in OH

Practice address

23875 Commerce Park
Suite 130
Beachwood, OH 44122-5805

Phone

(216) 556-5062

Fax

(216) 464-4693

NPI assigned

Mar 14, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457484768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 FRAMINGHAM LN",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872934",
            "telephone_number": "330-405-1354",
            "fax_number": "216-464-4693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23875 COMMERCE PARK",
            "address_2": "SUITE 130",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225805",
            "telephone_number": "216-556-5062",
            "fax_number": "216-464-4693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBICH",
        "first_name": "CONSTANCE",
        "middle_name": "ELEANOR",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.