KIM PETROCCI (NPI# 1962934513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962934513 |
| Entity Type | Individual |
| Full Name | KIM PETROCCI |
| Credential | M.ED |
| Practice Address |
8525 Friendsville Rd Lodi OH 44254-9706 |
| Practice Telephone | 3303020320 |
| Mailing Telephone | 3303020320 |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
OH1169907 | OH | Behavioral Health & Social Service Providers |
| Street Address |
8525 FRIENDSVILLE RD |
| City | LODI |
| State | OH |
| Zip Code | 44254-9706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932306594 | Cloverleaf Local Schools | Local Education Agency (LEA) | 8525 Friendsville Rd, Lodi, OH 44254-9706 | 2007-06-28 |
| 1598258048 | Heidi Mae Hinderman | Occupational Therapy Assistant | 8525 Friendsville Rd, Lodi, OH 44254-9706 | 2018-06-10 |
| 1255887782 | Kristin Dryja | Speech-Language Pathologist | 8525 Friendsville Rd, Lodi, OH 44254-9706 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194044396 | John Ignatius Meilinger | Dentist | 115 Bank Street, John I. Meiling Dds Inc, Lodi, OH 44254 | 2010-05-27 |
| 1205983947 | Village of Lodi | Ambulance | 591 Medina Street, Lodi, OH 44254 | 2007-01-04 |
| 1518070390 | John I Meilinger Dds Inc | Dentist | 115 Bank St, Lodi, OH 44254 | 2006-08-16 |
| 1790765386 | Kimberly C Sheets | Family Medicine | 225 Elyria St, Lodi, OH 44254 | 2006-01-19 |
| 1902332299 | Brittny Queden | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2017-05-04 |
| 1659773661 | Kristin Carrie Trill | Nurse Practitioner | 225 Elyria St, Lodi, OH 44254 | 2014-09-22 |
| 1801052204 | Lodi Community Hospital | General Practice | 221 Elyria St, Lodi, OH 44254-1000 | 2008-08-05 |
| 1932343274 | Ohio Eye Care Consultants LLC | Eyewear Supplier (Equipment, not the service) | 221 Elyria St, Suite 104, Lodi, OH 44254-1000 | 2009-04-30 |
| 1245721356 | Timothy M Phillips Dds Inc | Dentist | 115 Bank St, Lodi, OH 44254-1001 | 2018-05-24 |
| 1356878110 | Timothy Phillips | Dentist | 115 Bank St, Lodi, OH 44254-1001 | 2017-05-11 |
| Find all providers in zip 44254 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235789918 | Rhonda Eyzaguirre | Psychologist | 1305 E Vine St, Lodi, CA 95240-3179 | 2019-09-16 |
| 1043795644 | Bobbie Renee Ables-smith | Psychologist | 1305 E Vine St, Lodi, CA 95240-3179 | 2018-09-28 |
| 1750865663 | Christina Patterson | Psychologist | 1305 E Vine St, Lodi, CA 95240-3148 | 2018-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083220982 | Christopher Enz | Psychologist | 914 Mohawk Dr, Mc Dermott, OH 45652-9000 | 2020-09-17 |
| 1114532090 | Elizabeth Ann Chech | Psychologist | 7915 Manhattan Ave, Parma, OH 44129-1840 | 2020-09-09 |
| 1275146029 | Jennifer Lynn Eganhouse | Psychologist | 187 Wilson Dr, Worthington, OH 43085-4040 | 2020-08-30 |
| 1275145708 | Sharla Nichols Fasko | Psychologist | 7238 Pilliod Rd, Holland, OH 43528-9572 | 2020-08-17 |
| 1740806801 | Danita M Hamlin | Psychologist | 61 State, Gallipolis, OH 45631-1185 | 2020-06-24 |
| 1508481508 | Sharmayne Sellers | Psychologist | 2654 E 130th St, Cleveland, OH 44120-1452 | 2020-06-15 |
| 1982226833 | Karen Lynn Heichel | Psychologist | 1684 Medina Rd, Medina, OH 44256-9314 | 2020-05-14 |
| 1780205807 | Kera L Donovan | Psychologist | 9 Cherry Dr Nw, North Canton, OH 44720-5302 | 2020-04-29 |
| 1750916425 | Rachel Martin | Psychologist | 20800 Westgate Professional Center #200, Fairview Park, OH 44126 | 2020-03-03 |
| 1093356529 | Stacie Baker Corder | Psychologist | 11701 W Lake Rd, Vermilion, OH 44089-3029 | 2019-10-06 |
| Find all providers with the same taxonomy | ||||
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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.