Individual provider Active NPI

Michael Biscaro, PSY.D.

  • Clinical Psychologist
  • Cleveland, OH
National Provider Identifier
1033219779
Registry record updated Oct 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6268 Issued in OH
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061101000256 OH Practitioner - Clinical Psychologist 9739186941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6268OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Outreach Professional Services, Inc CurrentSince Jun 1, 2021 Accepting new patients
Outreach Professional Services Inc CurrentSince Jun 1, 2021 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.