Provider Demographics
NPI:1740093020
Name:AMY B. PINCUS, LLC
Entity type:Organization
Organization Name:AMY B. PINCUS, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:B
Authorized Official - Last Name:PINCUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-264-9682
Mailing Address - Street 1:24340 FAIRMOUNT BLVD
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-2234
Mailing Address - Country:US
Mailing Address - Phone:412-330-8982
Mailing Address - Fax:
Practice Address - Street 1:21825 CHAGRIN BLVD STE 345
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5352
Practice Address - Country:US
Practice Address - Phone:216-264-9682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty