Mindful Wellness Psychological Services, Llc - Medicare Mental Health Clinic in Amherst, OH

Mindful Wellness Psychological Services, Llc is a medicare enrolled mental health clinic (Psychologist - Clinical) in Amherst, Ohio. The current practice location for Mindful Wellness Psychological Services, Llc is 7575 Leavitt Rd, Amherst, Ohio. For appointments, you can reach them via phone at (440) 773-3032. The mailing address for Mindful Wellness Psychological Services, Llc is 1438 W 30th St, Lorain, Ohio and phone number is (440) 773-7277.

Mindful Wellness Psychological Services, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1346836640. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (440) 773-3032.

Contact Information

Mindful Wellness Psychological Services, Llc
7575 Leavitt Rd
Amherst
OH 44001-2701
(440) 773-3032
Not Available

Mental Health Clinic Profile

Full NameMindful Wellness Psychological Services, Llc
SpecialityPsychologist
Location7575 Leavitt Rd, Amherst, Ohio
Authorized Official Name and PositionEvelyn Garland (CONTRACTING MANAGER)
Authorized Official Contact4042135329
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mindful Wellness Psychological Services, Llc
1438 W 30th St
Lorain
OH 44052-4352

Ph: (440) 773-7277
Mindful Wellness Psychological Services, Llc
7575 Leavitt Rd
Amherst
OH 44001-2701

Ph: (440) 773-3032

NPI Details:

NPI Number1346836640
Provider Enumeration Date12/21/2020
Last Update Date12/21/2020
Certification Date12/21/2020

Medicare PECOS Information:

Medicare PECOS PAC ID6103214515
Medicare Enrollment IDO20211103002153

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Medical Identifiers

Medical identifiers for Mindful Wellness Psychological Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346836640NPI-NPPES
1801124730OtherINDIVIDUAL NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mindful Wellness Psychological Services, Llc acts as a billing entity for following providers:
Provider NameDenise Eacott
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1801124730
PECOS PAC ID: 2062557473
Enrollment ID: I20211103002210

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