DR. KENNETH GERSTENHABER (NPI# 1245292127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245292127 |
| Entity Type | Individual |
| Full Name | DR. KENNETH GERSTENHABER |
| Credential | PH.D |
| Practice Address |
5035 Mayfield Rd 212 Lyndhurst OH 44124-2688 |
| Practice Telephone | 2162929306 |
| Practice Fax Number | 2164643950 |
| Mailing Telephone | 2162929306 |
| Mailing Fax Number | 2164643950 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2012-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
2995 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0444497 | 05 |
| Street Address |
5035 MAYFIELD RD 212 |
| City | LYNDHURST |
| State | OH |
| Zip Code | 44124-2688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972504876 | Roberta Judith Tonti | Social Worker | 5035 Mayfield Rd, Suite #214, Lyndhurst, OH 44124-2688 | 2005-08-02 |
| 1730520578 | Fredrick K Rzepka | Dentist | 5035 Mayfield Rd, 225, Lyndhurst, OH 44124-2688 | 2013-07-09 |
| 1760741292 | Legacy Anesthesia Services LLC | Nurse Anesthetist, Certified Registered | 5035 Mayfield Rd, Ste 101, Lyndhurst, OH 44124-2688 | 2012-05-03 |
| 1396077582 | Hilltop Ambulatory Surgery Center LLC | Clinic/Center | 5035 Mayfield Rd, Suiite # 100, Lyndhurst, OH 44124-2688 | 2010-02-12 |
| 1932364965 | Rodney Allan Green | Plastic Surgery | 5035 Mayfield Rd, Ste 100, Lyndhurst, OH 44124-2688 | 2008-07-18 |
| 1700050960 | Giselle A Lander | Optometrist | 5035 Mayfield Rd, Suite 110, Lyndhurst, OH 44124-2688 | 2008-04-18 |
| 1578734984 | Brian J Weiss | Durable Medical Equipment & Medical Supplies | 5035 Mayfield Rd, Suite 215, Lyndhurst, OH 44124-2688 | 2008-03-13 |
| 1700071222 | Fredrick K Rzepka Dds Inc | Dentist | 5035 Mayfield Rd, Lyndhurst, OH 44124 | 2007-09-07 |
| 1235324757 | Harry S Rzepka Dds Inc | Dentist | 5035 Mayfield Rd, Lyndhurst, OH 44124 | 2007-09-07 |
| 1710171152 | Karen Nicole Bird | Occupational Therapist | 5035 Mayfield Rd, Suite 100, Lyndhurst, OH 44124-2688 | 2007-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104470509 | Marian Rae Barton | Physician Assistant | 6092 Mayfield Rd, Mayfield Heights, OH 44124 | 2019-07-25 |
| 1831669860 | Tameka D. Weaver | Home Health Aide | 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 | 2018-12-03 |
| 1508371238 | Jamila Shafawn Hardy | Counselor | 1320 Washington Blvd, Cleveland, OH 44124 | 2017-12-04 |
| 1134664899 | Sergio Watson | Licensed Practical Nurse | 1131 Irene Rd, Lyndhurst, OH 44124 | 2017-01-04 |
| 1164894424 | Carrie Lynn Rodick | Registered Nurse | 1212 Blanchester, Lyndhurst, OH 44124 | 2015-10-27 |
| 1205205804 | Mary Rose Moore | Nurse Practitioner | 1443 Richmond Road, Lyndhurst, OH 44124 | 2015-09-24 |
| 1154717551 | Hongfei Di | Family Medicine | 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 | 2015-04-13 |
| 1558753376 | Taj Amjad Khan | Pediatrics | 32810 Creekside Drive, Pepper Pike, OH 44124 | 2015-03-03 |
| 1902297195 | Marcellus Gliha | Hearing Instrument Specialist | 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 | 2015-02-10 |
| 1194122051 | Doug Blecher | Counselor | 5512 Kilbourne Dr, Cleveland, OH 44124 | 2014-11-20 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048649 | Diane K. Feibel | Psychologist | 7571 Blue Fox Run, West Chester, OH 45069-6336 | 2020-09-21 |
| 1417452293 | Naaleh Cleveland | Psychologist | 23980 Chagrin Blvd Ste 203, Beachwood, OH 44122-5542 | 2018-03-26 |
| 1770033136 | Village Preparatory School IIi | Psychologist | 2220 W. 93rd St., Cleveland, OH 44102 | 2016-10-10 |
| 1073062337 | Citizens Academy IIi | Psychologist | 17900 Harvard Ave, Cleveland, OH 44128-1736 | 2016-09-28 |
| 1922459023 | Senior Wellness Solutions, Inc | Psychologist | 16760 Lucky Bell Ln, Chagrin Falls, OH 44023-5161 | 2016-06-29 |
| 1710395264 | Lakeshore Intergenerational School | Psychologist | 18025 Marcella Rd, Cleveland, OH 44119 | 2014-07-29 |
| 1750706677 | Jonah Lakin | Psychologist | 19220 Lorain Rd Ste 203, Fairview Park, OH 44126-1976 | 2014-02-28 |
| 1144661224 | Village Preparatory Woodland Hills | Psychologist | 9201 Crane Ave, Cleveland, OH 44105-1627 | 2013-07-17 |
| 1972944031 | Citizens Leadership Academy | Psychologist | 9711 Lamont Ave, Cleveland, OH 44106-4124 | 2013-07-17 |
| 1235570300 | Near West Intergenerational School | Psychologist | 3805 Terrett Ave, Cleveland, OH 44113-2847 | 2013-07-17 |
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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.