Provider Demographics
NPI:1316211303
Name:CORE COGNITIONS, LLC
Entity Type:Organization
Organization Name:CORE COGNITIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND THERAPIST
Authorized Official - Prefix:MISS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:FOYTIK
Authorized Official - Suffix:
Authorized Official - Credentials:LISW-S, CRMP, CHT
Authorized Official - Phone:440-882-6985
Mailing Address - Street 1:5788 RIDGE RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44129-3168
Mailing Address - Country:US
Mailing Address - Phone:440-882-6985
Mailing Address - Fax:440-882-6702
Practice Address - Street 1:5788 RIDGE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44129-3168
Practice Address - Country:US
Practice Address - Phone:440-882-6985
Practice Address - Fax:440-882-6702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-08
Last Update Date:2013-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI11016881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH161771OtherGROUP MEDICARE PTAN
OH0078131Medicaid