Organization Active NPI

Theresa Tschannen, PHD LLC

  • Clinical Psychologist
  • Medina, OH
National Provider Identifier
1962292219
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
THERESA TSCHANNEN, PHD LLC
Practice address
5054 Paramount Dr Ofc 9
Medina, OH 44256-5363
Phone
(330) 304-8290
NPI assigned
May 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Authorized official

Name
Dr. Theresa Tschannen Isabella, PHDNPI 1255669941
Title
Psychologist
Phone
(330) 421-7805

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

5054 Paramount Dr Ofc 9
Medina, OH 44256-5363

Mailing address

5054 Paramount Dr Ofc 9
Medina, OH 44256-5363
Phone (330) 304-8290

National Provider Directory

National Provider Directory

Locations

5054 Paramount Dr
Ofc 9
Medina, OH 44256
Phone (330) 304-8290

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1746748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746748800000",
    "number": "1962292219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5054 PARAMOUNT DR OFC 9",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565363",
            "telephone_number": "330-304-8290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5054 PARAMOUNT DR OFC 9",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442565363",
            "telephone_number": "330-304-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA TSCHANNEN, PHD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-09",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A",
        "authorized_official_last_name": "TSCHANNEN ISABELLA",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-421-7805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.