Organization Active NPI

Cypress Family Center

  • Clinical Psychologist
  • Brecksville, OH
National Provider Identifier
1861857997
Registry record updated Dec 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6206 Issued in OH
Legal business name
CYPRESS FAMILY CENTER
Practice address
8221 Brecksville Rd
Suite 104
Brecksville, OH 44141-1364
Phone
(440) 584-0114
NPI assigned
Dec 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2015

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

Authorized official

Name
Dr. Kimberly Bell, PH.D.
Title
President
Phone
(440) 584-0114

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X L8467 OH
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6206 OH Primary

Addresses

Primary practice location

8221 Brecksville Rd
Suite 104
Brecksville, OH 44141-1364

Mailing address

8221 Brecksville Rd
Suite 104
Brecksville, OH 44141-1364
Phone (440) 584-0114

National Provider Directory

National Provider Directory

Locations

8221 Brecksville Rd
Ste 104
Brecksville, OH 44141
Phone (440) 526-0468

NPI Registry JSON

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

{
    "created_epoch": "1450224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450224000000",
    "number": "1861857997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8221 BRECKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411364",
            "telephone_number": "440-584-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8221 BRECKSVILLE RD",
            "address_2": "SUITE 104",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411364",
            "telephone_number": "440-584-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS FAMILY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-16",
        "last_updated": "2015-12-16",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-584-0114",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "L8467",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2015; 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.