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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
Street Address |
10802 FOREST ST APT 22 |
City | GARRETTSVILLE |
State | OH |
Zip Code | 44231-1077 |
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 |
Find all providers in zip 44231 |
Taxonomy Code | 103TC2200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical Child & Adolescent |
Definition to come... |
Notes: [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295398683 | Clayton Houston Allred | Psychologist | 2150 W Central Ave # Level2, Toledo, OH 43606-3834 | 2019-04-21 |
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 |
Find all providers with the same taxonomy |
City | GARRETTSVILLE |
Zip Code | 44231 |
Please comment or provide details below to improve the information on COOPER JORDAN ROUBIC.
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.