CORNERSTONE PSYCHOLOGICAL AFFILIATES (NPI# 1124139928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124139928 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PSYCHOLOGICAL AFFILIATES |
| Practice Address |
4585 State Route 39 Hummil Bldg Berlin OH 44610 |
| Mailing Address |
259 Sandusky St Ashland OH 44805 |
| Practice Telephone | 3308938100 |
| Practice Fax Number | 3308937209 |
| Mailing Telephone | 4192891876 |
| Mailing Fax Number | 4192816430 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN C SHULTZ (PRESIDENT OWNER) |
| Authorized Official Telephone | 4192891876 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1912933169 | Cornerstone Psychological Affiliates | Counselor | 9080 Leavitt Rd, Elyria, OH 44035-4210 | 2006-06-22 |
| 1396775771 | Cornerstone Psychological Affiliates | Counselor | 1221 S Trimble Rd, Suite A2, Mansfield, OH 44907 | 2006-07-03 |
| Street Address |
4585 STATE ROUTE 39 HUMMIL BLDG |
| City | BERLIN |
| State | OH |
| Zip Code | 44610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727043 | Peak Physical Therapy & Wellness LLC | Clinic/Center | 4805 East Main Street, Berlin, OH 44610 | 2019-02-21 |
| 1205224847 | Jacqueline Mullet | Speech-Language Pathologist | 6108 County Road 77, Berlin, OH 44610 | 2015-01-06 |
| 1437427499 | Tammi Kim Snow | Registered Nurse | 4973 West Main St, Berlin, OH 44610 | 2011-12-06 |
| 1730362716 | Pomerene Express Care | General Practice | 4900 Oak Street, Berlin, OH 44610 | 2007-12-12 |
| 1700079902 | Debra Lyn Mullet | Pharmacist | 4912 Maple Street, Berlin, OH 44610 | 2007-08-21 |
| 1578760831 | East Holmes Local Schools | Local Education Agency (LEA) | 6108 Co Rd 77, Berlin, OH 44610 | 2007-06-29 |
| 1528105871 | Christine Diane Miller | Chiropractor | 4585 State Rt 39, Suite C, Berlin, OH 44610 | 2007-01-30 |
| 1861580003 | Robert Charles Raebel | Pharmacist | 4925 West Main St, Berlin, OH 44610 | 2006-10-11 |
| 1902995921 | Rodney Ray Mast | Pharmacist | 4925 West Main Street, Berlin, OH 44610 | 2006-10-11 |
| 1215024179 | Sharon Riley | Counselor | Hummel Bldg, Us Rt 39, Berlin, OH 44610 | 2006-10-10 |
| Find all providers in zip 44610 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349738 | Nicholas Thomas Kolosky | Counselor | 129 Sea Green Dr, Berlin, CT 06037-4095 | 2020-05-29 |
| 1194385997 | Kimberly J Poole-sykes | Counselor | 10776 Grays Corner Rd Unit 2, Berlin, MD 21811-3561 | 2019-06-14 |
| 1992279491 | Rachel Boyer | Counselor | 237 Gates Pond Rd, Berlin, MA 01503-1306 | 2019-01-17 |
| 1780935239 | Seaside Counseling & Wellness Center, LLC. | Counselor | 10776 Grays Corner Rd, Suite 2, Berlin, MD 21811-3541 | 2012-09-24 |
| 1710248315 | Jaime Farrell Coates | Counselor | 378 Schooner Ln, Berlin, MD 21811 | 2012-05-31 |
| 1033416102 | Sharanda Williamson | Counselor | 128 Berlin Cross Keys Rd, Berlin, NJ 08009-9201 | 2011-02-24 |
| 1487960712 | Terry D Maxfield Jr. | Counselor | 82 Eastview Lane, Ste 3, Berlin, VT 05602-0000 | 2010-08-24 |
| 1245471952 | Wanda Siena Blanco | Counselor | 16 S Main St Ste D, Berlin, MD 21811-1467 | 2009-03-11 |
| 1629125299 | Ann-margaret Moise | Counselor | 10514 Racetrack Rd Ste C, Berlin, MD 21811-3241 | 2007-01-04 |
| 1184797128 | Maria Coviello | Counselor | 3 Twelfth St, Berlin, NH 03570-3860 | 2006-11-16 |
| Find all providers in BERLIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.