NPIMap

Organization Active NPI

Royalton Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Royalton, OH
National Provider Identifier
1053742841
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
6106 Issued in OH
Legal business name
ROYALTON PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
12608 State Road
Suite 1
North Royalton, OH 44133-3281
Phone
(440) 907-1141
Fax
(440) 345-3456
NPI assigned
Dec 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Dr. Kathleen M Payne, PH.D.NPI 1023141009
Title
Psychologist/Owner
Phone
(440) 476-8027

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 6106 OH Primary

Addresses

Primary practice location

12608 State Road
Suite 1
North Royalton, OH 44133-3281

Mailing address

12608 State Road
Suite 1
North Royalton, OH 44133-3281
Phone (440) 476-8027

National Provider Directory

National Provider Directory

Locations

8040 Corporate Cir
Ste 4
North Royalton, OH 44133
Phone (419) 704-4769

12608 State Rd
Ste 1
North Royalton, OH 44133
Phone (440) 230-1960

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1053742841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12608 STATE ROAD",
            "address_2": "SUITE 1",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333281",
            "telephone_number": "440-476-8027",
            "fax_number": "440-345-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12608 STATE ROAD",
            "address_2": "SUITE 1",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441333281",
            "telephone_number": "440-907-1141",
            "fax_number": "440-345-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYALTON PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PSYCHOLOGIST/OWNER",
        "authorized_official_telephone_number": "440-476-8027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "6106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.