About
Hello! I have been continuously licensed as a Clinical Psychologist since 1999. I grew up poor in inner city Cleveland. I was the 1st in my family to complete a college degree of any kind. I was a truck driver before I became a psychologist. I have a neuromuscular disability which effects my lower arms and hands and lower legs and feet. I use a wheelchair for long distances but I can walk a little. I graduated with a BA in psychology from Cleveland State University in 1992. I graduated with my doctorate in clinical psychology from the Illinois School of Professional Psychology in Chicago in 1998.
Basic Data
PECOS ID: 2466466768
Entity Type: Individual; Sole Proprietor
Accepts Med Assignment: He does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Gender
Male
Ethnicity
White
Client Focus
- Adults
- Elders (65+)
Therapy Specialties
- Anxiety
- Bipolar
- Depression
- Grief
- LGBTQ Issues
- Relationship Issues
Modality
- Couples Therapy
- Individuals
Education
- National Louis University, PsyD in Clinical Psychology
Languages
- English
Healthcare Provider Taxonomy
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
Credentials
- Doctor of Psychology (PsyD)
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 78 | 78 |
| 90832 | Psychotherapy, 30 minutes | 187 | 41 |
| 90834 | Psychotherapy, 45 minutes | 210 | 52 |
Group Practices
Group practices this therapist belongs to includes:
| Psychology Consultants Inc | |
|---|---|
| Address | 3591 Reserve Commons Dr |
| Suite 301 | |
| Medina, OH 44256-5334 | |
| Group PAC ID | 2163310475 |
| Group Members | 15 |
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | 71006575 Verify | IL |
| Psychologist | 29905 Verify | CA |
| Psychologist | 08214 Verify | OH |
Practice Locations
3591 Reserve Commons Dr Ste 301
Medina, OH 44256-5334
Phone Number: (330) 764-7916
3591 Reserve Commons Dr
Suite 301
Medina, OH 44256-5334
Phone Number: (330) 764-7916
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