DR. JASON RIEBE (NPI# 1881094480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881094480 |
| Entity Type | Individual |
| Full Name | DR. JASON RIEBE |
| Credential | PSY.D. |
| Practice Address |
4807 Rockside Rd Ste 400 Independence OH 44131-2159 |
| Mailing Address |
7926 Oakridge Dr Mentor OH 44060-7276 |
| Practice Telephone | 2166428283 |
| Practice Fax Number | 2169370187 |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2019-04-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TA0700X |
Psychologist Specialization: Adult Development & Aging |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TC1900X |
Psychologist Specialization: Counseling |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TE1100X |
Psychologist Specialization: Exercise & Sports |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TH0100X |
Psychologist Specialization: Health Service |
7191 | OH | Behavioral Health & Social Service Providers |
| N | 103TH0004X |
Psychologist Specialization: Health |
7191 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3401 Enterprise Pkwy Ste 340, Beachwood, OH 441227340 | 2167665700 | |
| 35104 Euclid Ave Ste 308b, Willoughby, OH 440944566 | 2166428283 | 2169370187 |
| Street Address |
4807 ROCKSIDE RD STE 400 |
| City | INDEPENDENCE |
| State | OH |
| Zip Code | 44131-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457161 | Emilie Hadley | Case Manager/Care Coordinator | 5700 Rockside Rd, Independence, OH 44131 | 2019-09-27 |
| 1316404015 | Denise Ann Shannon | Licensed Practical Nurse | 4700 Rocksde Road, Suite 100, Independence, OH 44131 | 2019-02-28 |
| 1255898433 | Elizabeth Spence | Specialist/Technologist | 806 Tuxedo Ave, Brooklyn Hts, OH 44131 | 2019-02-25 |
| 1407356819 | Stefani Smithburger | Social Worker | 6200 Rockside Woods Blvd, Suite 305, Independence, OH 44131 | 2018-02-13 |
| 1881107092 | Christine M Hernandez | Nurse Practitioner | 2150 Oak Tree Blvd Suite 200, Independence, OH 44131 | 2017-11-09 |
| 1639698368 | Jessica Ann Phillips-donnelly | Social Worker | 5001 Rockside Road, Crown Center II, Independence, OH 44131 | 2017-09-13 |
| 1437692274 | Susan Meghan Davis | Registered Nurse | 925 Keynote Circle Suite #300, Brooklyn Hts, OH 44131 | 2016-11-28 |
| 1629431507 | Patricia Lynn Berger | Counselor | 6200 Rockside Woods Blvd. Suite 305, Independence, OH 44131 | 2016-03-30 |
| 1265810428 | Sarah Krakowiak | Speech-Language Pathologist | 3330 Wynde Tree Drive, Seven Hills, OH 44131 | 2015-05-08 |
| 1255732525 | Michelle Rioux-nivens | Nurse Practitioner | 6150 Oak Tree Boulevard, Suite 200, Independence, OH 44131 | 2014-09-05 |
| Find all providers in zip 44131 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952570533 | Frances Gale Friedman | Psychologist | 6611 Rockside Road, Sutie 215, Independence, OH 44131-2344 | 2008-02-27 |
| 1043396518 | Helene Cynthia Terezis | Psychologist | 6505 Rockside Road, Rockwood Center Suite 120, Independence, OH 44131 | 2006-10-27 |
| 1992898571 | Neil L. Evans | Psychologist | 2327 Jamestown Ave., Independence, IA 50644-9791 | 2006-10-02 |
| 1457466880 | Drs Chernin & Egan Inc | Psychologist | 6505 Rockside Rd, Ste. 120, Independence, OH 44131-2342 | 2006-08-19 |
| 1487665915 | Carol Seraphina Gee | Psychologist | 6701 Rockside Rd Ste 240, Independence, OH 44131-2316 | 2006-08-10 |
| 1699729525 | Debra L Hastings | Psychologist | 601 Morningside Dr, Independence, KS 67301-1932 | 2006-05-22 |
| 1922087410 | Seth A Brown | Psychologist | 515 2nd St Ne, Independence, IA 50644-1915 | 2006-01-12 |
| 1417946237 | Charel Lee Khol | Psychologist | 6133 Rockside Rd, Suite 207, Independence, OH 44131-2223 | 2005-10-14 |
| 1851879134 | Sally Galanti | Psychologist | 6100 Oak Tree Blvd Ste 200, Independence, OH 44131-6914 | 2018-07-30 |
| 1114425733 | Chelsey Friedrich | Psychologist | 3751 W Main St, Independence, KS 67301-8446 | 2018-01-29 |
| Find all providers in INDEPENDENCE | ||||
| City | INDEPENDENCE |
| Zip Code | 44131 |
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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.