Active NPI
Debra El-Amin, PSY.D.
- Clinical Psychologist
- Cleveland HTS, OH
National Provider Identifier
1902244858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5325
- Practice address
- 2460 Fairmount Blvd
320
Cleveland HTS, OH 44106-3171 - Phone
- (216) 337-7649
- NPI assigned
- Jun 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 5325 | OH | |
| Clinical Psychologist | 103TC0700X | 5325 | OH | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 5325 | OH |
Addresses
Primary practice location
2460 Fairmount Blvd
320
Cleveland HTS, OH 44106-3171
Mailing address
2460 Fairmount Blvd
320
Cleveland HTS, OH 44106-3171
Phone (216) 337-7649
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370995200000",
"number": "1902244858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2460 FAIRMOUNT BLVD",
"address_2": "320",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441063171",
"telephone_number": "216-337-7649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2460 FAIRMOUNT BLVD",
"address_2": "320",
"city": "CLEVELAND HTS",
"state": "OH",
"postal_code": "441063171",
"telephone_number": "216-337-7649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EL-AMIN",
"first_name": "DEBRA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-12",
"last_updated": "2013-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "OH",
"license": "5325",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5325",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "OH",
"license": "5325",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.