Healthcare Provider Details

I. General information

NPI: 1235356486
Provider Name (Legal Business Name): HANNA PERKINS SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19910 MALVERN RD
SHAKER HEIGHTS OH
44122-2823
US

IV. Provider business mailing address

19910 MALVERN RD
SHAKER HEIGHTS OH
44122-2823
US

V. Phone/Fax

Practice location:
  • Phone: 216-991-4472
  • Fax: 216-991-5472
Mailing address:
  • Phone: 216-991-4472
  • Fax: 216-991-5472

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. THOMAS F BARRETT
Title or Position: EXECUTIVE DIRECTOR
Credential: PH.D.
Phone: 216-929-0200