Individual provider Active NPI

Lori L. Mendenhall, PSY.D.

  • Clinical Psychologist
  • Parma Heights, OH
National Provider Identifier
1861609323
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6319 Issued in OH
Practice address
5851 Pearl Rd
Suite 305
Parma Heights, OH 44130-2112
Phone
(440) 845-9011
Fax
(440) 845-9013
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6319 OH Primary

Addresses

Primary practice location

5851 Pearl Rd
Suite 305
Parma Heights, OH 44130-2112

Mailing address

1341 Arborcrest Dr
Hinckley, OH 44233-9145

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
I20071017000204 OH Practitioner - Clinical Psychologist 5597796318 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Horizons Counseling Services, Inc.Group PAC ID 0244271971, 7 clinicians

Practice addresses (Care Compare)

5851 Pearl Rd
Suite 305
Cleveland, OH 44130-2112
Phone (440) 845-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6319OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Counseling Services, Inc. Clinical CurrentSince Jul 24, 2007 Accepting new patients
Psychcare Associates P.C. Clinical PastSince May 13, 2015 Accepting new patients

Locations

5851 Pearl Rd
Ste 305
Parma Heights, OH 44130
Phone (440) 845-9011

Organizations & group practices 2

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861609323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 ARBORCREST DR",
            "city": "HINCKLEY",
            "state": "OH",
            "postal_code": "442339145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD",
            "address_2": "SUITE 305",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441302112",
            "telephone_number": "440-845-9011",
            "fax_number": "440-845-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "LORI",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma Heights, OH

Sources for this page

Verify at the official NPI Registry.