Active NPI
Jelena P Stevanovic, PH.D.
- Clinical Psychologist
- Akron, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6441
- Practice address
- 75 Arch St
Suite 104
Akron, OH 44304-1429 - Phone
- (330) 375-4851
- Fax
- (330) 375-4228
- NPI assigned
- Mar 27, 2009
- Sex
- Female
- Sole proprietor
- No
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 | 6441 | OH | Primary |
Addresses
Primary practice location
75 Arch St
Suite 104
Akron, OH 44304-1429
Mailing address
525 E Market St
PO Box 2090
Akron, OH 44304-1619
Phone (330) 996-8603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2976954 | Medicaid | OH |
Other names 1
- Jelena Pavlovic
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
525 E Market St
Akron, OH 44304-1619
75 Arch St
Suite 301
Akron, OH 44304-1429
Phone (330) 253-1800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6441 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summa Physicians LLC | Clinical | Current | Accepting new patients |
| Summa Physicians LLC | Current | Accepting new patients | |
| Summa Physicians LLC | Current | Accepting new patients |
Locations
525 E Market St
Akron, OH 44304
Phone (330) 375-6350
1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691
75 Arch St
Ste 104
Akron, OH 44304
Phone (330) 375-4851
444 N Main St
Ste 408
Akron, OH 44310
Phone (330) 379-8121
Interoperability endpoints
- jstevanovic30440@summahealth-direct.org
Organizations & group practices 3
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.
-
- Obstetrics & Gynecology Physician
- Akron, OH
- NPI 1235167719
-
- Geriatric Medicine (Internal Medicine) Physician
- Uniontown, OH
- NPI 1457662769
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1295036762
Hospital
-
- General Acute Care Hospital
- Akron, OH
- NPI 1396765681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301616000000",
"number": "1871735498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E MARKET ST",
"address_2": "PO BOX 2090",
"city": "AKRON",
"state": "OH",
"postal_code": "443041619",
"telephone_number": "330-996-8603",
"fax_number": "330-996-8695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 ARCH ST",
"address_2": "SUITE 104",
"city": "AKRON",
"state": "OH",
"postal_code": "443041429",
"telephone_number": "330-375-4851",
"fax_number": "330-375-4228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVANOVIC",
"first_name": "JELENA",
"middle_name": "P",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-27",
"last_updated": "2011-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6441",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2976954",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JELENA",
"last_name": "PAVLOVIC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.