Individual provider Active NPI

Rosemary P McDonagh, PMHCNS-BC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Medina, OH
National Provider Identifier
1790944908
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
NS-05203 Issued in OH
Practice address
211 West Liberty
Cornerstone Psychological & Counseling Services
Medina, OH 44256
Phone
(330) 722-4166
NPI assigned
Jun 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X NS-05203 OH Primary
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X CTP#RX05203 OH
Registered Nurse 163W00000X RN-272863 OH

Addresses

Primary practice location

211 West Liberty
Cornerstone Psychological & Counseling Services
Medina, OH 44256

Mailing address

221 West Liberty St
Cornerstone Psychological and Counseling Services
Medina, OH 44256
Phone (330) 722-4166

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120906000916 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 9931357449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
RN-272863OHMDRegistered Nurse
CTP#RX05203OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist
NS-05203OHMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Psychological & Counseling Services of Northeast Ohio CurrentSince Nov 1, 2015 Accepting new patients
Chattree and Associates LTD PastSince Jun 26, 1999 Accepting new patients
Akron Psychological Associates, LLC PastSince Apr 21, 2014 Accepting new patients
Family Statcare of Northeast Ohio, LLC Past Accepting new patients
Janet Gobrogge CNP LLC Past Accepting new patients

Locations

4018 Medina Rd
Ste D
Medina, OH 44256
Phone (330) 506-1408

221 W Liberty St
Medina, OH 44256
Phone (330) 410-8444

195 Wadsworth Rd
Ste 201B
Wadsworth, OH 44281
Phone (330) 336-2000

Interoperability endpoints

  • Direct secure messaging: rosemarymcdonagh@de5155ba.micromddirect.com

Organizations & group practices 5

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": "1212451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1790944908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 WEST LIBERTY ST",
            "address_2": "CORNERSTONE PSYCHOLOGICAL AND COUNSELING SERVICES",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-722-4166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 WEST LIBERTY",
            "address_2": "CORNERSTONE PSYCHOLOGICAL & COUNSELING SERVICES",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "44256",
            "telephone_number": "330-722-4166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONAGH",
        "first_name": "ROSEMARY",
        "middle_name": "P",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-03",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "NS-05203",
            "primary": true
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "CTP#RX05203",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN-272863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.