CORNERSTONE PSYCHOLOGICAL AFFILIATES (NPI# 1912933169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912933169 |
| Entity Type | Organization |
| Organization Name | CORNERSTONE PSYCHOLOGICAL AFFILIATES |
| Practice Address |
9080 Leavitt Rd Elyria OH 44035-4210 |
| Mailing Address |
259 Sandusky St Ashland OH 44805-2034 |
| Practice Telephone | 4409862600 |
| Practice Fax Number | 4409862603 |
| Mailing Telephone | 4192891876 |
| Mailing Fax Number | 4192816430 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JOHN C SHULTZ (OWNER PRESIDENT) |
| Authorized Official Telephone | 4192891876 |
| Authorized Official Credential | PH D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers | ||
| X | 2084P2900X |
Psychiatry & Neurology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275644981 | Cornerstone Psychological Affiliates | Counselor | 817 Kilbourne St, Suite F, Bellevue, OH 44811 | 2006-08-31 |
| 1124139928 | Cornerstone Psychological Affiliates | Counselor | 4585 State Route 39, Hummil Bldg, Berlin, OH 44610 | 2006-08-31 |
| 1396775771 | Cornerstone Psychological Affiliates | Counselor | 1221 S Trimble Rd, Suite A2, Mansfield, OH 44907 | 2006-07-03 |
| Street Address |
9080 LEAVITT RD |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-4210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962511584 | Philip Verda | Counselor | 9080 Leavitt Rd, Elyria, OH 44035 | 2006-08-29 |
| 1154358059 | John C Shultz | Psychologist | 9080 Leavitt Rd, Elyria, OH 44035 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063524494 | Wendy Stone Scott | Counselor | 1005 Abbe Rd N, Elyria, OH 44035-1613 | 2006-08-31 |
| 1235779893 | The Genesis Center | Counselor | 457 Griswold Rd, Elyria, OH 44035-2304 | 2020-01-13 |
| 1962042978 | Erin Nicole Phillips | Counselor | 225 Court St, Elyria, OH 44035-5512 | 2020-01-08 |
| 1609413673 | Cody Michael Flood | Counselor | 312 3rd St, Elyria, OH 44035-5618 | 2019-12-09 |
| 1790342137 | Dana Cransleski | Counselor | 312 3rd St, Elyria, OH 44035-5618 | 2019-05-21 |
| 1487149209 | Richard Ellis Banas | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-06-25 |
| 1457846271 | Jerome Francis Kiffer | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-06-25 |
| 1467945014 | Nicole Schwandt | Counselor | 347 Midway Blvd Ste 210, Elyria, OH 44035-2496 | 2018-06-08 |
| 1386151645 | Fortaleza,llc | Counselor | 41641 N Ridge Rd, Elyria, OH 44035-1264 | 2018-01-08 |
| 1417468125 | Tamika La'kay Spencer | Counselor | 347 Midway Blvd Ste 306, Elyria, OH 44035-2496 | 2017-10-20 |
| Find all providers in ELYRIA | ||||
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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.