NPIMap

Organization Active NPI

Psycho Social Therapies,LTD

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
National Provider Identifier
1902462906
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PSYCHO SOCIAL THERAPIES,LTD
Practice address
23366 Commerce Park Ste 100B
Beachwood, OH 44122-5801
Phone
(216) 292-2880
Fax
(216) 446-6030
NPI assigned
May 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Mordechai Compton
Title
President
Phone
(216) 292-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

23366 Commerce Park Ste 100B
Beachwood, OH 44122-5801

Mailing address

23366 Commerce Park Ste 100B
Beachwood, OH 44122-5801
Phone (216) 292-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051208000882 OH Part B Supplier - Clinic/Group Practice 9234165424 Receives reassigned benefits from 82 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

23366 Commerce Park
Ste 100B
Beachwood, OH 44122
Phone (216) 292-2880

3889 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 793-5222

610 Forest Ave
Cincinnati, OH 45229
Phone (513) 281-0311

8212 N Main St
Dayton, OH 45415
Phone (937) 280-0030

7300 McEwen Rd
Dayton, OH 45459
Phone (937) 433-3441

1575 Brainard Rd
Lyndhurst, OH 44124
Phone (440) 460-1000

700 Monroe Rd
Mason, OH 45036
Phone (513) 932-0105

66 Norwood Ave
Norwalk, OH 44857
Phone (419) 668-8258

31 Maranatha Ct
Youngstown, OH 44505
Phone (330) 746-5157

Practitioners & affiliated clinicians

Practitioners 147

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 147

NPI Registry JSON

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

{
    "created_epoch": "1557878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1902462906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK STE 100B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225801",
            "telephone_number": "216-292-2880",
            "fax_number": "216-446-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23366 COMMERCE PARK STE 100B",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225801",
            "telephone_number": "216-292-2880",
            "fax_number": "216-446-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHO SOCIAL THERAPIES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-15",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "COMPTON",
        "authorized_official_first_name": "MORDECHAI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-292-2880"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.