CORNERSTONE PSYCHOLOGICAL AFFILIATES
NPI 1912933169
Psychiatry & Neurology - Pain Medicine in Elyria, OH

NPI Status: Active since June 22, 2006

Contact Information

9080 LEAVITT RD
ELYRIA, OH
ZIP 44035
Phone: (440) 986-2600
Fax: (440) 986-2603

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  • Organization
  • Psychiatry & Neurology
  • Pain Medicine
  • CLIA Number: 36D1021839
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 02-02-2026

About CORNERSTONE PSYCHOLOGICAL AFFILIATES

This page provides the complete NPI Profile along with additional information for Cornerstone Psychological Affiliates, a provider established in Elyria, Ohio operating as a Psychiatry & Neurology, focusing in pain medicine . The healthcare provider is registered in the NPI registry with number 1912933169 assigned on June 2006. The practitioner's primary taxonomy code is 2084P2900X. The provider is registered as an organization and their NPI record was last updated one year ago. Cornerstone Psychological Affiliates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is John C Shultz Ph D (Owner President)

NPI
1912933169
Provider Name
CORNERSTONE PSYCHOLOGICAL AFFILIATES
Entity Type
Organization
Location Address
9080 LEAVITT RD ELYRIA, OH 44035
Location Phone
(440) 986-2600
Location Fax
(440) 986-2603
Mailing Address
259 SANDUSKY ST ASHLAND, OH 44805
Mailing Phone
(419) 289-1876
Mailing Fax
(440) 986-2603
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-22-2006
Last Update Date
09-11-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Pain Medicine

Taxonomy Code
2084P2900X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

 
2103TP2701XBehavioral Health & Social Service Providers

Psychologist
Group Psychotherapy

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN C SHULTZ PH D

Authorized Official Title
OWNER PRESIDENT
Authorized Official Phone
(419) 289-1876

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D1021839
Facility Type
Community Clinic
Certificate Effective Date
February 03, 2024
Certificate Expiration Date
February 02, 2026
Laboratory Director
CYNTHIA CARTER-HARRIS
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cornerstone Psychological Affiliates to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1912933169, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
1
Doubled → 2
Pos 4
2
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
3
Unchanged
Pos 7
3
Doubled → 6
Pos 8
1
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 2 + 2 + 1 + 8 + 3 + 6 + 1 + 1 + 2 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1912933169.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist
9080 LEAVITT RD
ELYRIA, OH 44035

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912933169, enumerated as an "organization" on June 22, 2006.

The provider is located at 9080 LEAVITT RD ELYRIA, OH 44035 and the phone number is (440) 986-2600.

Psychiatry & Neurology with taxonomy code 2084P2900X and a focus in Pain Medicine.