Healthcare Provider Details

I. General information

NPI: 1326267931
Provider Name (Legal Business Name): JOANNE H. NAEGELE M.A., L.P.C.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2007
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

3091 SCARBOROUGH RD
CLEVELAND HEIGHTS OH
44118-4064
US

V. Phone/Fax

Practice location:
  • Phone: 216-991-4472
  • Fax:
Mailing address:
  • Phone: 216-932-2631
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberE0001370
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code102L00000X
TaxonomyPsychoanalyst
License NumberE0001370
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: