# CORNERSTONE PSYCHOLOGICAL AFFILIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912933169
- **Authorized official:** JOHN C SHULTZ PH D (OWNER PRESIDENT)
- **Authorized official phone:** (419) 289-1876

## Contact information

- **Practice address:** 9080 LEAVITT RD, ELYRIA, OH 44035-4210
- **Practice address phone:** (440) 986-2600
- **Practice address fax:** (440) 986-2603
- **Mailing address:** 259 SANDUSKY ST, ASHLAND, OH 44805-2034
- **Mailing address phone:** (419) 289-1876
- **Mailing address fax:** (419) 281-6430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | — |
| 101YM0800X | Mental Health Counselor | — | — | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | NULL | — |
| 103TP2701X | Group Psychotherapy Psychologist | — | — | — |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084P2900X | Pain Medicine (Psychiatry & Neurology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2006
- **Last updated:** 09/11/2025