Healthcare Provider Details

I. General information

NPI: 1912812132
Provider Name (Legal Business Name): ERIN MARIE MOHAT PSYS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 W WALNUT AVE
PAINESVILLE OH
44077-2928
US

IV. Provider business mailing address

200 W WALNUT AVE
PAINESVILLE OH
44077-2928
US

V. Phone/Fax

Practice location:
  • Phone: 440-392-5116
  • Fax: 440-392-5089
Mailing address:
  • Phone: 440-392-5116
  • Fax: 440-392-5089

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberSP.00758
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: