Supportive Care of Ohio LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SUPPORTIVE CARE OF OHIO LLC

Practice address

28602 Yeshiva LN
Wickliffe, OH 44092-2729

Phone

(718) 506-1115

NPI assigned

Sep 8, 2015

Last updated

Sep 10, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joel Meisels

Title

President

Phone

(845) 826-0060

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441843200000",
    "number": "1518335603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 ROBERT PITT DR",
            "address_2": "UNIT 209",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523330",
            "telephone_number": "845-826-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28602 YESHIVA LN",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922729",
            "telephone_number": "718-506-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE CARE OF OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2015-09-10",
        "status": "A",
        "authorized_official_last_name": "MEISELS",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-826-0060"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen Lorena Skvarca, RN
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• Brittanie Nikol Svoboda, NP-C
• Susan Joan Sweigert
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• Christina Marie Taylor Sprungl, STNA

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2015; 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.