=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467970111
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | CHELSEA KALYNN MENG PSY.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/01/2017
-----------------------------------------------------
Last Update Date | 07/07/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16600 W SPRAGUE RD STE 190
-----------------------------------------------------
City | MIDDLEBURG HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44130-6398
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-714-0092
-----------------------------------------------------
Fax | 216-284-7632
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16600 W SPRAGUE RD STE 190
-----------------------------------------------------
City | MIDDLEBURG HEIGHTS
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44130-6398
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-714-0092
-----------------------------------------------------
Fax | 216-284-7632
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103TC0700X
-----------------------------------------------------
Taxonomy Name | Clinical Psychologist
-----------------------------------------------------
License Number | P.07727
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 103G00000X
-----------------------------------------------------
Taxonomy Name | Clinical Neuropsychologist
-----------------------------------------------------
License Number | P.07727
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------