COOPER JORDAN ROUBIC


Address: 10802 Forest St Apt 22, Garrettsville, OH 44231-1077
Phone: 3309786561

COOPER JORDAN ROUBIC (NPI# 1790255669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790255669
Entity Type Individual
Full Name COOPER JORDAN ROUBIC
Practice Address 10802 Forest St Apt 22
Garrettsville
OH 44231-1077
Mailing Address 10802 Forest St
Garrettsville
OH 44231-1079
Practice Telephone 3309786561
Enumeration Date 2018-12-04
Last Update Date 2018-12-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
Behavioral Health & Social Service Providers

Office Location

Street Address 10802 FOREST ST APT 22
City GARRETTSVILLE
State OH
Zip Code 44231-1077

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235685934 Melissa Marblestone Speech-Language Pathologist 10207 Oh-88, Garrettsville, OH 44231 2016-09-01
1669928222 Kathy Himes Hughes Speech-Language Pathologist 10207 Sr 88, Garrettsville, OH 44231 2016-09-01
1578813051 Sara R Gibbs Pharmacist 10764 North Street, Garrettsville, OH 44231 2012-09-12
1235351636 Community Ambulance Inc. Ambulance 10804 Forest Street, Garrettsville, OH 44231 2007-05-03
1326056078 Thomas J Pesarchick Dentist 8307 Windham Street, Garrettesville, OH 44231 2006-08-04
1154361145 Annette L Andrews Internal Medicine 1 Memory Ln, Suite 200, Garrettsville, OH 44231 2006-06-07
1023273406 Dr. Thomas J. Pesarchick Dds Inc. Dentist 8307 Windham St, Garrettsville, OH 44231 2008-07-24
1396757829 Victor Bykov Radiology 11185 State Route 88, Box 288, Garrettsville, OH 44231-0288 2006-08-13
1528479789 Michael Sherer Specialist/Technologist 7985 Elm St, Garrettsville, OH 44231-1001 2014-05-09
1437669132 Roger Anders Way Respite Care 7998 Elm St, Garrettsville, OH 44231-1002 2017-10-07
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

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NPI Name Taxonomy Address Enumeration
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1063950269 Kenna R Mycek Psychologist 27101 E Oviatt Rd, #2, Bay Village, OH 44140-3307 2017-02-08
1063885853 Sevenp Health Care Services, Inc. Psychologist 733 W Market St Ste B5a, Akron, OH 44303-1009 2015-11-03
1568852390 Cleveland Arts & Social Sciences Academy Psychologist 10701 Shaker Blvd, Cleveland, OH 44104 2015-02-02
1588099311 Alana Delores Lopez Psychologist 1611 S Green Rd Ste 35, South Euclid, OH 44121-4128 2013-09-11
1225471238 Megan Elizabeth Narad Psychologist 3333 Burnet Ave Ml 3015, Cincinnati, OH 45229 2013-04-09
1407105596 Rebecca Wasserman Lieb Psychologist 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 2012-09-05
1720398027 Center for Behavioral Medicine Inc Psychologist 19111 Detroit Rd Ste 103, Rocky River, OH 44116-1740 2010-10-20
1972817104 Kimberly Stark, Psyd, LLC Psychologist 1339 1/2 Mount Vernon Ave, Marion, OH 43302-5626 2010-07-29
1720305915 Tara N Tozzi Psychologist 56 Milford Dr Ste 308, Hudson, OH 44236-2767 2010-04-27
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Competitor

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City GARRETTSVILLE
Zip Code 44231

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Dataset Information

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.

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