NPIMap

Organization Active NPI

C.J. Hendry and Associates, Inc.

  • Clinical Psychologist
  • Westlake, OH
National Provider Identifier
1710030028
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
C.J. HENDRY AND ASSOCIATES, INC.
Practice address
25000 Center Ridge Rd
Suite 6
Westlake, OH 44145-4105
Phone
(440) 892-7034
NPI assigned
Jan 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Ms. Carol Ball, LPCC
Title
President
Phone
(440) 892-7034

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

25000 Center Ridge Rd
Suite 6
Westlake, OH 44145-4105

Mailing address

5445 Smith Rd
Brookpark, OH 44142-2026
Phone (216) 332-9360

Other practice location 1

992 Abbe Rd
Elyria, OH 44035
Phone (440) 406-5323

Other identifiers 1

IdentifierTypeStateIssuer
057412000OtherOHMAGELLAN HEALTH SERVICES

National Provider Directory

National Provider Directory

Locations

5445 Smith Rd
Cleveland, OH 44142
Phone (216) 362-6391

992 Abbe Rd N
Elyria, OH 44035
Phone (440) 366-5262

25000 Center Ridge Rd
Ste 6
Westlake, OH 44145
Phone (440) 892-7034

Practitioners & affiliated clinicians

Practitioners 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1710030028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 SMITH RD",
            "city": "BROOKPARK",
            "state": "OH",
            "postal_code": "441422026",
            "telephone_number": "216-332-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25000 CENTER RIDGE RD",
            "address_2": "SUITE 6",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441454105",
            "telephone_number": "440-892-7034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "992 ABBE RD",
            "address_purpose": "LOCATION",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "country_code": "US",
            "telephone_number": "440-406-5323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "C.J. HENDRY AND ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-02",
        "status": "A",
        "authorized_official_last_name": "BALL",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-892-7034",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "057412000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.