Provider Demographics
NPI:1902462906
Name:PSYCHO SOCIAL THERAPIES,LTD
Entity Type:Organization
Organization Name:PSYCHO SOCIAL THERAPIES,LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MORDECHAI
Authorized Official - Middle Name:
Authorized Official - Last Name:COMPTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:216-292-2880
Mailing Address - Street 1:23366 COMMERCE PARK STE 100B
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5801
Mailing Address - Country:US
Mailing Address - Phone:216-292-2880
Mailing Address - Fax:216-446-6030
Practice Address - Street 1:23366 COMMERCE PARK STE 100B
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5801
Practice Address - Country:US
Practice Address - Phone:216-292-2880
Practice Address - Fax:216-446-6030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-15
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)