Jeffrey E Bolek, PHD

Psychologist in Beachwood, OH. Individual provider (NPI-1).

NPI number1134217532

StatusActive

Last updated in NPPESSep 17, 2015

Details

NPI: 1134217532
Entity type: Individual (NPI-1)
Name: Jeffrey E Bolek
Credential: PHD
Sex: Male
Sole proprietor: No
Enumeration date: Oct 11, 2006
Last updated: Sep 17, 2015

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
Medicare opt-out: Apr 1, 2017 to Apr 1, 2027
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
103T00000X	Psychologist	3496	OH	Yes
103TR0400X	Psychologist, Rehabilitation	3496	OH

Practice location

21403 Chagrin Blvd
Beachwood, OH 44122-5322

Phone 216-346-5673

Mailing address

21403 Chagrin Blvd
Rm 212
Beachwood, OH 44122-5322

Phone 216-346-5673

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Other Psychologist providers in Beachwood, OH

All 73 Psychologist providers in Beachwood · All 3,297 providers in Beachwood

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