Rork Child Psychology, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

6641 Issued in OH

Legal business name

RORK CHILD PSYCHOLOGY, LLC

Practice address

3690 Orange PL Ste 170
Beachwood, OH 44122-4465

Phone

(216) 973-4588

NPI assigned

Mar 8, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Kristine Rork, PH.D.

Title

Clinical Psychologist

Phone

(216) 973-4588

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1760922843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-973-4588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3690 ORANGE PL STE 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441224465",
            "telephone_number": "216-973-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RORK CHILD PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-08",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "RORK",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-973-4588",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "6641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Romis, CNP
• Jessica Rompala
• Ronald a Freireich DPM
• Ronald a. Freireich, D.P.M.
• Elizabeth Rondon
• Laura Jill Rose, MSN APRN ANP-C
• Jeffery D Rosenbaum, PH.D.
• David M Rosenberg, MD
• Fredrick A Rosenberg, D.D.S.
• Jennifer T. Rosenberg, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

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