NPIMap

Organization Active NPI

Cornerstone Psychological Affiliates

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Elyria, OH
National Provider Identifier
1912933169
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
CORNERSTONE PSYCHOLOGICAL AFFILIATES
Practice address
9080 Leavitt Rd
Elyria, OH 44035-4210
Phone
(440) 986-2600
Fax
(440) 986-2603
NPI assigned
Jun 22, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
John C Shultz, PH DNPI 1154358059
Title
Owner President
Phone
(419) 289-1876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Group Psychotherapy Psychologist 103TP2701X NU
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X NU Primary

Addresses

Primary practice location

9080 Leavitt Rd
Elyria, OH 44035-4210

Mailing address

259 Sandusky St
Ashland, OH 44805-2034
Phone (419) 289-1876

National Provider Directory

National Provider Directory
Tax ID family
Cornerstone Psychological Affiliates5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9080 Leavitt Rd
Elyria, OH 44035
Phone (440) 986-2600

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1912933169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 SANDUSKY ST",
            "city": "ASHLAND",
            "state": "OH",
            "postal_code": "448052034",
            "telephone_number": "419-289-1876",
            "fax_number": "419-281-6430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 LEAVITT RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440354210",
            "telephone_number": "440-986-2600",
            "fax_number": "440-986-2603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE PSYCHOLOGICAL AFFILIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SHULTZ",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "419-289-1876",
        "authorized_official_credential": "PH D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.