Provider Demographics
NPI:1063629608
Name:SCHLACHET, REBECCA (DO)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:SCHLACHET
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24701 EUCLID AVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1714
Mailing Address - Country:US
Mailing Address - Phone:216-406-0249
Mailing Address - Fax:
Practice Address - Street 1:24701 EUCLID AVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1714
Practice Address - Country:US
Practice Address - Phone:216-406-0249
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH340084822084P0015X, 2084P0800X, 2084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
No2084P0015XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychosomatic Medicine
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9318141OtherAETNA
OHP00469472OtherMEDICARE RAILROAD
OH000000559900OtherANTHEM
OH2829685Medicaid
OHP00469472OtherMEDICARE RAILROAD