Provider Demographics
NPI:1467970111
Name:MENG, CHELSEA KALYNN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CHELSEA
Middle Name:KALYNN
Last Name:MENG
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:MISS
Other - First Name:CHELSEA
Other - Middle Name:KALYNN
Other - Last Name:KOCIUBA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:16600 W SPRAGUE RD STE 190
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-6398
Mailing Address - Country:US
Mailing Address - Phone:216-714-0092
Mailing Address - Fax:216-284-7632
Practice Address - Street 1:16600 W SPRAGUE RD STE 190
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-6398
Practice Address - Country:US
Practice Address - Phone:216-714-0092
Practice Address - Fax:216-284-7632
Is Sole Proprietor?:No
Enumeration Date:2017-09-01
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHP.07727103TC0700X, 103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical