LARISSA ELGUDIN (NPI# 1629004387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629004387 |
| Entity Type | Individual |
| Full Name | LARISSA ELGUDIN |
| Credential | MD |
| Practice Address |
23425 Commerce Park Ste 104 Beachwood OH 44122-5848 |
| Mailing Address |
23425 Commerce Park Suite 104 Beachwood OH 44122-5844 |
| Practice Telephone | (216) 831-2900 |
| Practice Fax Number | 2168314306 |
| Mailing Telephone | (216) 831-2900 |
| Mailing Fax Number | 2168314306 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2017-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35080478E | OH | Allopathic & Osteopathic Physicians |
| Street Address |
23425 COMMERCE PARK STE 104 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5848 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255985651 | Julia Ariel Leb | Counselor | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2019-07-25 |
| 1710472691 | Sarah Jones | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2018-06-24 |
| 1801390331 | Brittany Sommers | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2018-03-20 |
| 1588108468 | Justin Shelton | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2016-12-12 |
| 1457440257 | Lois Lorraine Nicholson | Clinical Nurse Specialist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-10-12 |
| 1639283518 | Linda Marie Debalzo | Clinical Nurse Specialist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-08-18 |
| 1265463053 | Abraham W Wolf | Psychologist | 23425 Commerce Park Ste 104, Beachwood, OH 44122-5848 | 2006-07-06 |
| 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 | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730407024 | Samuel A Nigro Md Inc | Psychiatry & Neurology | 3733 Park East Dr Ste 102, Beachwood, OH 44122-4334 | 2010-05-11 |
| 1184872087 | Jennifer T. Rosenberg | Psychiatry & Neurology | 3927 W Ash Ln, Beachwood, OH 44122-4778 | 2008-09-04 |
| 1881854362 | Janet Lee Kemp | Psychiatry & Neurology | 29425 Chagrin Blvd Ste 301, Beachwood, OH 44122-4637 | 2008-06-10 |
| 1407057045 | Stephanie Mulligan Marko | Psychiatry & Neurology | 24100 Chagrin Blvd Suite 130, Beachwood, OH 44122 | 2007-05-30 |
| 1477633444 | Jacqueline Miller | Psychiatry & Neurology | 29525 Chagrin Blvd Ste 315, Beachwood, OH 44122-4601 | 2006-10-16 |
| 1437245164 | Midori F. Fiocchi | Psychiatry & Neurology | 24075 Commerce Park Road, Suite # 130, Beachwood, OH 44122 | 2006-10-04 |
| 1821103904 | Omar Elhaj | Psychiatry & Neurology | 25101 Chagrin Blvd Ste 100, Beachwood, OH 44122-5694 | 2006-08-20 |
| 1609892140 | James F Cunagin | Psychiatry & Neurology | 24200 Chagrin Blvd, Beachwood, OH 44122-5550 | 2006-07-15 |
| 1639103484 | Manjula A Shah | Psychiatry & Neurology | 3690 Orange Pl Ste 220, Beachwood, OH 44122-4465 | 2006-07-10 |
| 1528091899 | Boris Royak | Psychiatry & Neurology | 25700 Science Park Dr Ste 210, Beachwood, OH 44122-7328 | 2006-07-09 |
| Find all providers in BEACHWOOD | ||||
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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.