DR. MARLENE MOSS BLUMENTHAL (NPI# 1215178637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215178637 |
| Entity Type | Individual |
| Full Name | DR. MARLENE MOSS BLUMENTHAL |
| Credential | PH.D. |
| Practice Address |
21403 Chagrin Blvd #210 Beachwood OH 44122-5322 |
| Practice Telephone | 2167511007 |
| Practice Fax Number | 2164645224 |
| Mailing Telephone | 2167511007 |
| Mailing Fax Number | 2164645224 |
| Enumeration Date | 2009-03-14 |
| Last Update Date | 2009-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
SP265 | OH | Behavioral Health & Social Service Providers |
| Street Address |
21403 CHAGRIN BLVD #210 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5322 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891709788 | Susan Marie Cyphers | Counselor | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2006-07-28 |
| 1295147494 | David Granoff | Psychologist | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2014-05-22 |
| 1669711875 | Adam H Roth Phd LLC | Psychologist | 21403 Chagrin Blvd, #210, Beachwood, OH 44122-5322 | 2013-02-07 |
| 1679810774 | Adam Roth | Psychologist | 21403 Chagrin Blvd, 210, Beachwood, OH 44122-5322 | 2013-01-09 |
| 1639342959 | Heidi Rubin Abrams | Social Worker | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2008-04-08 |
| 1659592681 | Mark Mcconville | Psychologist | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2007-05-01 |
| 1205053477 | Carol Paull | Social Worker | 21403 Chagrin Blvd, Beachwood, OH 44122 | 2007-04-19 |
| 1518095751 | David L. Granoff, Psy.d., Inc. | Psychologist | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2007-03-01 |
| 1295863736 | James I Kepner | Psychologist | 21403 Chagrin Blvd, Ste 210, Beachwood, OH 44122-5322 | 2007-02-28 |
| 1790842862 | Lana Kirk Ginnis | Social Worker | 21403 Chagrin Blvd, Suite 105, Beachwood, OH 44122-5322 | 2007-01-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467872150 | William Wiseman | Psychologist | 17 Sherwood Ct, Beachwood, OH 44122-7593 | 2014-04-21 |
| 1679686216 | Kevin Jon Kemelhar | Psychologist | 23250 Chaprin Blvd, #425 Dr Ellen F Casper Phd & Associates, Beachwood, OH 44122 | 2006-08-17 |
| 1124464581 | Emily V Patton | Psychologist | 25550 Chagrin Blvd, 200, Beachwood, OH 44122-5638 | 2013-05-13 |
| 1588949994 | Karen C. Moss | Psychologist | 2000 Auburn Dr, Suite 200, Beachwood, OH 44122-4314 | 2011-10-17 |
| 1861797532 | Edie Ungar-shafron | Psychologist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2011-01-11 |
| 1770883472 | Shayla L Brown | Psychologist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2010-10-27 |
| 1023346962 | Regina Wordsall | Psychologist | 23250 Chagrin Blvd, Suite 425, Beachwood, OH 44122-5470 | 2009-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
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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.