MR. ERIC ANTHONY GIETZEN (NPI# 1225554348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225554348 |
| Entity Type | Individual |
| Full Name | MR. ERIC ANTHONY GIETZEN |
| Practice Address |
93 Rolling Park Dr N Massillon OH 44647-5196 |
| Mailing Address |
93 Rolling Park Drive North Massillon OH 44647 |
| Practice Telephone | (330) 617-7598 |
| Mailing Telephone | 3306177598 |
| Enumeration Date | 2017-08-21 |
| Last Update Date | 2018-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TH0100X |
Psychologist Specialization: Health Service |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 475186391 | 05 |
| Street Address |
93 ROLLING PARK DR N |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647-5196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1811148463 | Lisa Renee Dorland | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2008-10-01 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| Find all providers in zip 44647 | ||||
| Taxonomy Code | 103TH0100X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health Service |
| A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). |
| Notes: Source: National Register of Health Service Providers in Psychology website http://www.nationalregister.org/about_NR.html [7/1/2006: modified title, added definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891892 | Hunter L Mote | Psychologist | 7174 Hammond Dr, Greenville, OH 45331-2408 | 2020-11-05 |
| 1831798446 | Jaquitta Denise Wells | Psychologist | 1013 Evangeline Rd Apt 2, Cleveland, OH 44110-3192 | 2020-10-23 |
| 1760006332 | Tekesha Mckinney | Psychologist | 11464 Ramondi Pl, Cincinnati, OH 45240-2047 | 2020-05-29 |
| 1528554896 | Shamika Marie White-lovelace | Psychologist | 3886 Brookside Blvd, Cleveland, OH 44111-5105 | 2018-07-10 |
| 1427549138 | Pallaveebahen H Patel | Psychologist | 9150a N Plaza Dr, Northfield, OH 44067-1348 | 2018-05-29 |
| 1881110583 | Armada Hardy | Psychologist | 2203 Peace Ave Nw, Warren, OH 44483-3257 | 2017-08-15 |
| 1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
| 1174999130 | Angela Burris | Psychologist | 7055 Dutchland Blvd, Liberty Township, OH 45044-9014 | 2015-08-13 |
| 1023181633 | William Hayes Obrien | Psychologist | Of Psychology, Bowling Green State University, Bowling Green, OH 43403-0001 | 2006-11-15 |
| 1629152954 | Jill Helene Mushkat Conomy | Psychologist | 6803 Mayfield Rd. #200, Cchseast Hillcrest Hosp. Pain Center, Mayfield Hts., OH 44124 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MR. ERIC ANTHONY GIETZEN.
| 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.