Rachel Marie Nijakowski, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4699 Issued in OH

Practice address

6832 Convent Blvd
Sylvania, OH 43560

Phone

(419) 882-4529

Fax

(419) 885-7612

NPI assigned

Jan 19, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sophia Counseling Center IncGroup PAC ID 4385628346, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sophia Counseling Center Inc

  • Psychologist
  • Sylvania, OH
  • NPI 1962474932
  Medicare reassignment Care Compare group NPD Authorized official
• Elliott & Associates Inc

  • Mental Health Counselor
  • Sylvania, OH
  • NPI 1710974035
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1003896572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 CONVENT BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-4529",
            "fax_number": "419-885-7612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 CONVENT BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-882-4529",
            "fax_number": "419-885-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIJAKOWSKI",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973228",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Jeanette Neeley, MSW, LISW
• Allison A Neidert, AUD CCC A
• Aubrey Taylor Nemire
• Bem Ngur
• Scott Harold Nightingale, DDS MS
• Edwin L Nirdlinger, MD PHD
• Kendalyn Marie Noe, PT, DPT
• Noes/Paulding, LTD
• Sharon Nolan
• Gregory Norrod

• Psychologist in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.