Provider Demographics
NPI:1396765780
Name:HAMPL, STEVEN P (PHD)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:P
Last Name:HAMPL
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10524 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2205
Mailing Address - Country:US
Mailing Address - Phone:216-844-2400
Mailing Address - Fax:216-844-2877
Practice Address - Street 1:11100 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-1716
Practice Address - Country:US
Practice Address - Phone:216-844-2400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4051103T00000X, 103TC1900X
OHP.4051103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000224276OtherUNISON
OH680005825OtherRAILROAD MEDICARE
OH0139291Medicaid
OH4113980OtherAETNA
OH000000533013OtherANTHEM
OH363609OtherWELLCARE MEDICAID
OHHACP11554Medicare PIN
OH680005825OtherRAILROAD MEDICARE
R71973Medicare UPIN