Yossef S Ben-Porath, PH.D.
Individual provider Active NPI Psychologist · Copley, OH
NPI 1487079323 · NPPES record last updated Mar 2, 2014
Key facts
- NPI
- 1487079323
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- License
- 4329 (OH)
- Practice address
- 4184 Devonshire CT
Copley, OH 44321-2831 - Phone
- (330) 672-2684
- NPI assigned
- Mar 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4329 | OH | Yes |
Addresses
Primary practice location
4184 Devonshire CT
Copley, OH 44321-2831
Mailing address
PO Box 14810
Copley, OH 44321-4810
Phone (330) 672-2684
Other providers in Copley, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.