NPIMap

Organization Active NPI

Center for Clinical Psychology Inc

  • Clinical Psychologist
  • North Ridgeville, OH
National Provider Identifier
1588069975
Registry record updated Dec 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
5051 Issued in OH
Legal business name
CENTER FOR CLINICAL PSYCHOLOGY INC
Practice address
35590 Center Ridge Rd
# 105
North Ridgeville, OH 44039-6000
Phone
(440) 263-0266
Fax
(440) 348-2362
NPI assigned
Oct 28, 2014
Last updated
Dec 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2014

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

Authorized official

Name
Dr. Thomas Evans, PH.D.NPI 1346574142
Title
Psychologist
Phone
(440) 263-0266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 5051 OH Primary

Addresses

Primary practice location

35590 Center Ridge Rd
# 105
North Ridgeville, OH 44039-6000

Mailing address

35590 Center Ridge Rd
# 105
North Ridgeville, OH 44039-6000
Phone (440) 263-0266

National Provider Directory

National Provider Directory

Locations

35590 Center Ridge Rd
Ste 105
North Ridgeville, OH 44039
Phone (440) 263-0266

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": "1414454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419379200000",
    "number": "1588069975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35590 CENTER RIDGE RD",
            "address_2": "# 105",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396000",
            "telephone_number": "440-263-0266",
            "fax_number": "440-348-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35590 CENTER RIDGE RD",
            "address_2": "# 105",
            "city": "NORTH RIDGEVILLE",
            "state": "OH",
            "postal_code": "440396000",
            "telephone_number": "440-263-0266",
            "fax_number": "440-348-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR CLINICAL PSYCHOLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-28",
        "last_updated": "2014-12-24",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "440-263-0266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Ridgeville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2014; 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.