Westside Behavioral Health, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

7303 Issued in OH

Legal business name

WESTSIDE BEHAVIORAL HEALTH, LLC

Practice address

24600 Center Ridge Rd
Building 3, Suite 130
Westlake, OH 44145-5638

Phone

(216) 295-5624

NPI assigned

Mar 25, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Erin Carter, PHD

Title

Psychologist

Phone

(859) 512-9921

Specialties & licenses 2

Addresses

Other names 1

• Erin Cooper, PhD Doing business as

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

{
    "created_epoch": "1490400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490400000000",
    "number": "1659802122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 GLENMORE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441453928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 CENTER RIDGE RD",
            "address_2": "BUILDING 3, SUITE 130",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455638",
            "telephone_number": "216-295-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-25",
        "last_updated": "2017-03-25",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "859-512-9921",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "7303",
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "7303",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Erin Cooper, PhD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Makaylee Wetzel, RBT

• Psychologist in Westlake, OH
• Providers in Westlake, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2017; 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.