Organization Active NPI

Forensic Psychological Center of Northeast Ohio

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1568948651
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
FORENSIC PSYCHOLOGICAL CENTER OF NORTHEAST OHIO
Practice address
25200 Chagrin Blvd Ste 105
Beachwood, OH 44122-5681
Phone
(216) 245-6311
NPI assigned
Jul 12, 2018
Last updated
Jul 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Jeff Rindsberg, PSYD, ABPP
Title
Owner
Phone
(216) 245-6311

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 5982 OH
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

25200 Chagrin Blvd Ste 105
Beachwood, OH 44122-5681

Mailing address

25200 Chagrin Blvd Ste 105
Beachwood, OH 44122-5681
Phone (216) 245-6311

National Provider Directory

National Provider Directory

Locations

25200 Chagrin Blvd
Ste 105
Beachwood, OH 44122
Phone (216) 245-6311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1568948651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225681",
            "telephone_number": "216-245-6311",
            "fax_number": "888-567-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25200 CHAGRIN BLVD STE 105",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225681",
            "telephone_number": "216-245-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORENSIC PSYCHOLOGICAL CENTER OF NORTHEAST OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "RINDSBERG",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-245-6311",
        "authorized_official_credential": "PSYD, ABPP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5982",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.