Provider Demographics
NPI:1144744905
Name:SATORI PSYCHOLOGICAL LLC
Entity type:Organization
Organization Name:SATORI PSYCHOLOGICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KARIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:WORRELL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-469-6879
Mailing Address - Street 1:PO BOX 212
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44482-0212
Mailing Address - Country:US
Mailing Address - Phone:330-469-6879
Mailing Address - Fax:234-600-5046
Practice Address - Street 1:2460 ELM RD NE STE 900
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44483-2955
Practice Address - Country:US
Practice Address - Phone:330-469-6879
Practice Address - Fax:234-600-5046
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-02
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH7404261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0157639Medicaid