Healthcare Provider Details

I. General information

NPI: 1376518985
Provider Name (Legal Business Name): RIMVYDAS AUGIS PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/18/2006
Last Update Date: 07/31/2024
Certification Date: 07/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3659 S GREEN RD STE 320
BEACHWOOD OH
44122-5715
US

IV. Provider business mailing address

3659 S GREEN RD STE 320
BEACHWOOD OH
44122-5715
US

V. Phone/Fax

Practice location:
  • Phone: 216-355-5257
  • Fax:
Mailing address:
  • Phone: 216-355-5257
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.5850
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TP0814X
TaxonomyPsychoanalysis Psychologist
License Number5850
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: