WESTERN RESERVE PSYCHOLOGICAL ASSOC INC
NPI 1063479590
Psychologist in Stow, OH

Active since April 27, 2006
4833 DARROW ROAD, SUITE 101, STOW, OH 44224(330) 650-5338(330) 342-3837 Get Directions Write a Review

NPPES record last updated: October 21, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1063479590
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameWESTERN RESERVE PSYCHOLOGICAL ASSOC INC
Location Address4833 DARROW ROAD, SUITE 101Stow, OH 44224-1411
Mailing Address4833 Darrow Road, Suite 101Stow, OH 44224-1411 · (330) 650-5338 · Fax (330) 342-3837
Fax(330) 342-3837
Organization SubpartNo
Authorized OfficialVirginia Fowkes ClarkPresident · (330) 650-6338
Enumeration DateApril 27, 2006
Last NPPES UpdateOctober 21, 2015
✔ NPI 1063479590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
4833 DARROW ROAD, Stow, OH 44224

Other Identifiers 1

Medicare PIN9248282OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

11

Medicare 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)

Clinical Psychologist
NPI 1043621386
4833 DARROW RD SUITE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1477511038
4833 DARROW ROAD SUITE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1790867513
4833 DARROW RD STE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1831364421
4833 DARROW RD STE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1225265838
4833 DARROW RD SUITE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1346020096
4833 DARROW RD STE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1457978892
4833 DARROW RD STE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS0.1 mi
Clinical Psychologist
NPI 1922065697
4833 DARROW RD STE 101
Stow, OH 44224
(330) 650-5338
✔ PECOS✔ Accepts Medicare0.1 mi
Clinical Psychologist
NPI 1871971309
1617 AKRON PENINSULA RD STE 102B
Akron, OH 44313
(330) 286-6700
✔ PECOS6.8 mi
Clinical Psychologist
NPI 1912149717
9726 PLYMOUTH AVE
Garfield Heights, OH 44125
(216) 469-4771
✔ PECOS18 mi
Clinical Psychologist
NPI 1639452758
10701 EAST BLVD
Cleveland, OH 44106
(216) 201-0760
✔ PECOS24 mi

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.