Provider Demographics
NPI:1164547410
Name:ORGANIZATION FOR PSYCHOLOGICAL HEALTH INC
Entity Type:Organization
Organization Name:ORGANIZATION FOR PSYCHOLOGICAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:K
Authorized Official - Last Name:MCGRAW
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:440-349-3038
Mailing Address - Street 1:34305 SOLON RD
Mailing Address - Street 2:SUITE 52
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2660
Mailing Address - Country:US
Mailing Address - Phone:440-349-3038
Mailing Address - Fax:440-349-3081
Practice Address - Street 1:34305 SOLON RD
Practice Address - Street 2:SUITE 52
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2660
Practice Address - Country:US
Practice Address - Phone:440-349-3038
Practice Address - Fax:440-349-3081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2010-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHDP5521Medicare PIN
OH9382971Medicare PIN