Active NPI
Michael Biscaro, PSY.D.
- Clinical Psychologist
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6268
- Practice address
- 2322 E 22ND St Ste 200
Cleveland, OH 44115-3100 - Phone
- (216) 363-2570
- NPI assigned
- Sep 23, 2006
- Last updated
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6268 | OH | Primary |
Addresses
Primary practice location
2322 E 22ND St Ste 200
Cleveland, OH 44115-3100
Mailing address
PO Box 932127
Cleveland, OH 44193-0008
Phone (216) 363-2570
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | directmob200@cleveland.ipsmso.com | Outreach Professional Services Inc |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061101000256 | OH | Practitioner - Clinical Psychologist | 9739186941 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6268 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Professional Services, Inc | Current | Accepting new patients | |
| Outreach Professional Services Inc | Current | Accepting new patients | |
| Summit Psychological Associates, Inc. | Clinical | Past | Accepting new patients |
Locations
2322 E 22nd St
Ste 200
Cleveland, OH 44115
Phone (216) 227-9440
2351 E 22nd St
Cleveland, OH 44115
Phone (216) 363-2536
2475 E 22nd St
Cleveland, OH 44115
Phone (216) 241-1902
2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570
2475 E 22nd St
Ste 120
Cleveland, OH 44115
Phone (216) 367-9444
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/summit-psychological/r4/
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba St Vincent Medical Group
- Internal Medicine Physician
- Cleveland, OH
- NPI 1134119829
-
dba St Vincent Medical Group
- Durable Medical Equipment & Medical Supplies
- Cleveland, OH
- NPI 1104371640
-
- Clinical Psychologist
- Akron, OH
- NPI 1114976701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635292800000",
"number": "1033219779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 932127",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441930008",
"telephone_number": "216-363-2570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2322 E 22ND ST STE 200",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441153100",
"telephone_number": "216-363-2570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISCARO",
"first_name": "MICHAEL",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-23",
"last_updated": "2021-10-27",
"certification_date": "2021-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6268",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "directmob200@cleveland.ipsmso.com",
"affiliation": "Y",
"affiliationName": "Outreach Professional Services Inc",
"address_1": "2322 E 22nd St Ste 200",
"city": "Cleveland",
"state": "OH",
"country_code": "US",
"postal_code": "441153100",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.