Healthcare Provider Details

I. General information

NPI: 1346298734
Provider Name (Legal Business Name): SPECTRUM PSYCHOLOGICAL ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2006
Last Update Date: 01/18/2024
Certification Date: 01/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6151 WILSON MILLS RD STE 200
HIGHLAND HEIGHTS OH
44143-2128
US

IV. Provider business mailing address

6151 WILSON MILLS RD STE 200
HIGHLAND HEIGHTS OH
44143-2128
US

V. Phone/Fax

Practice location:
  • Phone: 216-702-1913
  • Fax: 877-689-9547
Mailing address:
  • Phone: 162-702-1913
  • Fax: 877-689-9547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNA GROSSMAN-MCKEE
Title or Position: PRESIDENT
Credential: PH.D.
Phone: 216-702-1913