Provider Demographics
NPI:1376590901
Name:APPLIED PSYCHOLOGICAL SERVICES
Entity Type:Organization
Organization Name:APPLIED PSYCHOLOGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:FERRI
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:419-228-4555
Mailing Address - Street 1:2371 WESTERN OHIO AVENUE
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805
Mailing Address - Country:US
Mailing Address - Phone:419-228-4555
Mailing Address - Fax:419-228-2717
Practice Address - Street 1:2371 WESTERN OHIO AVENUE
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805
Practice Address - Country:US
Practice Address - Phone:419-228-4555
Practice Address - Fax:419-228-2717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)Group - Multi-Specialty
No103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000132860OtherBLUE CROSS BLUE SHIELD
OH34723000OtherMAGELLAN
OH14942180300OtherWORKERS COMPENSATION
OH000000132856OtherBLUE CROSS BLUE SHIELD
OH000000132857OtherBLUE CROSS BLUE SHIELD
OH28448180400OtherWORKERS COMPENSATION
OH6636064600OtherWORKERS COMPENSATION
OH172387000OtherMAGELLAN
OH335560000OtherMAGELLAN
OH14942180300OtherWORKERS COMPENSATION
OH=========OtherCOMERCIAL INSURANCES