Provider Demographics
NPI:1467838136
Name:NAGY, KATE
Entity Type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:NAGY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38083 W SPAULDING ST STE 214
Mailing Address - Street 2:
Mailing Address - City:WILLOUGHBY
Mailing Address - State:OH
Mailing Address - Zip Code:44094-6158
Mailing Address - Country:US
Mailing Address - Phone:440-306-6881
Mailing Address - Fax:440-306-6884
Practice Address - Street 1:38083 W SPAULDING ST STE 214
Practice Address - Street 2:
Practice Address - City:WILLOUGHBY
Practice Address - State:OH
Practice Address - Zip Code:44094-6158
Practice Address - Country:US
Practice Address - Phone:440-306-6881
Practice Address - Fax:440-306-6884
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-05
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2844093Medicaid