Fields, Adam
Fields, Adam is an sole proprietor health care provider with primary practice located at 24300 Chagrin Blvd Ste 300 , Beachwood OH 44122-5629. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Fields, Adam can be contacted via phone (310) 614-2202.Contact Information
Primary practice address
24300 Chagrin Blvd Ste 300
Beachwood OH 44122-5629
Phone: (310) 614-2202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 52984 | California |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | F.2200266-SUPV | Ohio |
Profile Details
| NPI number | 1053624064 |
|---|---|
| LBN Legal business name | Fields, Adam |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2010 |
| Last updated | Mar 10th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053624064 | NPPES |
| California | MEDICAID | 7068 | |
| California | MEDICAID | 7420 |
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