Eacita J Vinzant

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Practice address

1099 Gordon Rd
Lyndhurst, OH 44124-1332

Phone

(440) 600-4329

NPI assigned

Apr 11, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1712793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1740033307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1099 GORDON RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241332",
            "telephone_number": "440-600-4329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 GORDON RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441241332",
            "telephone_number": "440-600-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINZANT",
        "first_name": "EACITA",
        "middle_name": "J",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-11",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Vitalhealth Partners Inc
• W R Healthcare Management LLC
• Sara Ann Wahl, COTA
• Naomi Waldbaum, M.D.

• Counseling Psychologist in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Counseling Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.