OrganizationActive
University Primary Care Practices Inc
NPI 1629227368 · Clinical Child & Adolescent Psychologist · Twinsburg, OH
Provider details
- NPI number
- 1629227368
- Entity type
- Organization
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Steve Riddle, Director of Billing Services(216) 383-6480
- License
- 6447 (OH)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8819 Commons Blvd # 101
Twinsburg, OH 44087-2177
Phone: (330) 486-9616
Fax: (330) 486-9621
Street-level locationGet directions
Mailing address
Po Box 74511
Cleveland, OH 44194-4511
Other names (DBA / former)
- Other name
- Psychology
Registry dates
- Enumerated
- 2008-09-18
- Last updated
- 2008-09-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.