Faust Psychological Services, Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4749 Issued in OH

Legal business name

FAUST PSYCHOLOGICAL SERVICES, INC.

Practice address

1730 West 25TH St.
Cleveland, OH 44113

Phone

(216) 363-2363

Fax

(216) 696-7488

NPI assigned

Oct 4, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael William Faust Sr., PH.DNPI 1356387468

Title

Psychologist

Phone

(216) 363-2363

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael William Faust Sr., PH.D.

  • Clinical Psychologist
  • Cleveland, OH
  • NPI 1356387468
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1487842340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 WEST 25TH ST.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44113",
            "telephone_number": "216-363-2363",
            "fax_number": "216-696-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 WEST 25TH ST.",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44113",
            "telephone_number": "216-363-2363",
            "fax_number": "216-696-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAUST PSYCHOLOGICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "FAUST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-363-2363",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0967584",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley L Faulx, MD
• Michael Faulx, MD
• Adriana Faur, PH.D.
• Cameron Fausett, M.D.
• Andrew Fausey, MD
• Michael William Faust Sr., PH.D.
• Agostina M Fava, MD
• Brookie L Favors
• Joshala Favors
• Aviva L. Fax, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.