Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip Stephen Fastenau, PHD

Individual provider Clinical Neuropsychologist · NPI 1407012883

Dr. Philip Stephen Fastenau, PHD is a Clinical Psychologist in Cleveland, Ohio. Qualified in 1994, 32 years ago. Practices with University Hospitals Medical Group Inc, a 2,242-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
32
Licensed in
OH
In the registry since
2008
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone: (216) 844-2400
Fax: (216) 844-1703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 6463 (OH)

Record details

NPI number1407012883
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedAugust 5, 2008
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice University Hospitals Medical Group Inc — 2242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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