Active NPI
Cheryl Ann Chase, PHD
- Clinical Psychologist
- Independence, OH
National Provider Identifier
1851408306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6275
- Practice address
- 6100 Oak Tree Blvd
Ste 200
Independence, OH 44131-2544 - Phone
- (216) 328-2045
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6275 | OH | MD | Clinical Psychologist |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6275 | OH | Primary |
Addresses
Primary practice location
6100 Oak Tree Blvd
Ste 200
Independence, OH 44131-2544
Mailing address
7758 Oakhurst Cir
Brecksville, OH 44141-1122
Phone (216) 401-6061
NPI Registry JSON
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345939200000",
"number": "1851408306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7758 OAKHURST CIR",
"city": "BRECKSVILLE",
"state": "OH",
"postal_code": "441411122",
"telephone_number": "216-401-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 OAK TREE BLVD",
"address_2": "STE 200",
"city": "INDEPENDENCE",
"state": "OH",
"postal_code": "441312544",
"telephone_number": "216-328-2045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHASE",
"first_name": "CHERYL ANN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2012-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Independence, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.