Individual provider Active NPI

Elena Zagarskas, PSY.D.

  • Psychologist
  • Mentor, OH
National Provider Identifier
1790021384
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.07787 Issued in OH
Practice address
8224 Mentor Ave Ste 208
Mentor, OH 44060-5743
Phone
(440) 392-2222
Fax
(440) 565-2349
NPI assigned
Dec 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC0006509 PA
Psychologist 103T00000X P.07787 OH Primary

Addresses

Primary practice location

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743

Mailing address

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743
Phone (440) 392-2222

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181003000740 OH Practitioner - Clinical Psychologist 1557613510 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Glovan, Pollak and Associates LLCGroup PAC ID 9032337308, 9 clinicians

Practice addresses (Care Compare)

8224 Mentor Ave
Mentor, OH 44060-5743
Phone (440) 392-2222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC0006509PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Glovan Pollak and Associates LLC CurrentSince Sep 19, 2018 Accepting new patients

Locations

8224 Mentor Ave
Ste 208
Mentor, OH 44060
Phone (440) 392-2222

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1790021384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAGARSKAS",
        "first_name": "ELENA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC0006509",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.07787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

Verify at the official NPI Registry.