WESTERN RESERVE PSYCHOLOGICAL ASSOC INC
NPI 1063479590
Psychologist in Stow, OH
About Western Reserve Psychological Assoc Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WESTERN RESERVE PSYCHOLOGICAL ASSOC INC (NPI 1063479590) is a healthcare organization registered as a psychologist in Stow, Ohio and active in the NPI registry since April 2006. The organization lists Virginia Fowkes Clark, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Western Reserve Psychological Assoc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Western Reserve Psychological Assoc Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Western Reserve Psychological Assoc Inc's NPI number?
The NPI number for Western Reserve Psychological Assoc Inc is 1063479590. It was assigned to this organization in the NPPES registry on April 27, 2006.
Where is Western Reserve Psychological Assoc Inc located?
Western Reserve Psychological Assoc Inc is located at 4833 Darrow Road Suite 101, Stow, OH 44224. The listed phone number is (330) 650-5338.
What is Western Reserve Psychological Assoc Inc's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Western Reserve Psychological Assoc Inc enrolled in Medicare?
Yes. Western Reserve Psychological Assoc Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Western Reserve Psychological Assoc Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Western Reserve Psychological Assoc Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Western Reserve Psychological Assoc Inc was last updated on October 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.