Individual provider Active NPI

Gerald J Strauss, PHD

  • Psychologist
  • Stow, OH
National Provider Identifier
1992757769
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
4377 Issued in OH
Practice address
4833 Darrow Rd Ste 101
Stow, OH 44224-1411
Phone
(330) 650-5338
Fax
(330) 342-3837
NPI assigned
May 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4377 OH Primary
Addiction (Substance Use Disorder) Psychologist 103TA0400X 4377 OH
Adult Development & Aging Psychologist 103TA0700X 4377 OH
Clinical Psychologist 103TC0700X 4377 OH
Cognitive & Behavioral Psychologist 103TB0200X 4377 OH
Counseling Psychologist 103TC1900X 4377 OH
Exercise & Sports Psychologist 103TE1100X 4377 OH
Group Psychotherapy Psychologist 103TP2701X 4377 OH
Health Psychologist 103TH0004X 4377 OH
Health Service Psychologist 103TH0100X 4377 OH
Rehabilitation Psychologist 103TR0400X 4377 OH

Addresses

Primary practice location

4833 Darrow Rd Ste 101
Stow, OH 44224-1411

Mailing address

4833 Darrow Rd Ste 101
Stow, OH 44224-1411
Phone (330) 650-5338

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4377OHMDHealth Service Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1992757769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-650-5338",
            "fax_number": "330-342-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 DARROW RD STE 101",
            "city": "STOW",
            "state": "OH",
            "postal_code": "442241411",
            "telephone_number": "330-650-5338",
            "fax_number": "330-342-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAUSS",
        "first_name": "GERALD",
        "middle_name": "J",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4377",
            "primary": true
        },
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TE1100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Exercise & Sports",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TH0100X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health Service",
            "state": "OH",
            "license": "4377",
            "primary": false
        },
        {
            "code": "103TR0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Rehabilitation",
            "state": "OH",
            "license": "4377",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stow, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2010; 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.