Provider Demographics
NPI:1205882941
Name:PSYCHOLOGY CONSULTANTS INC
Entity type:Organization
Organization Name:PSYCHOLOGY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:IVAN
Authorized Official - Last Name:MCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-607-7959
Mailing Address - Street 1:3591 RESERVE COMMONS DR
Mailing Address - Street 2:SUITE 301
Mailing Address - City:MEDINA
Mailing Address - State:OH
Mailing Address - Zip Code:44256-5334
Mailing Address - Country:US
Mailing Address - Phone:330-764-7916
Mailing Address - Fax:330-723-6399
Practice Address - Street 1:3591 RESERVE COMMONS DR
Practice Address - Street 2:SUITE 301
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-5334
Practice Address - Country:US
Practice Address - Phone:330-764-7916
Practice Address - Fax:330-723-6399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-25
Last Update Date:2010-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2009945Medicaid
OH2009945Medicaid