Senior Wellness Solutions, Inc

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Legal business name

SENIOR WELLNESS SOLUTIONS, INC

Practice address

16760 Lucky Bell LN
Chagrin Falls, OH 44023-5161

Phone

(216) 409-0686

NPI assigned

Jun 29, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Susan Johnson

Title

President

Phone

(216) 409-0686

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1922459023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16760 LUCKY BELL LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235161",
            "telephone_number": "216-409-0686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16760 LUCKY BELL LN",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440235161",
            "telephone_number": "216-409-0686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR WELLNESS SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-29",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-409-0686"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Leigh Schmidt, PHARMD
• Justine Ann Schmitt, PTA
• Jessica Renee Schneider
• Robert Schuppel, LPCC
• Shawn Steven Segulin, LPT
• Sarah Elizabeth Serafin, MT
• Leonard Shamis, BSN, RN
• Eric JB Shapiro, MD
• Patrick Leigh Shepard, OD
• Shepherd Services LLC

• Cognitive & Behavioral Psychologist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Cognitive & Behavioral Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.