Active NPI
Jennifer Revy
- School Psychologist
- Lyndhurst, OH
National Provider Identifier
1093613440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 22451563
- Practice address
- 5044 Mayfield Rd
Lyndhurst, OH 44124-2605 - Phone
- (216) 691-2000
- NPI assigned
- Oct 27, 2026
- Last updated
- Oct 27, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 22451563 | OH | Primary |
Addresses
Primary practice location
5044 Mayfield Rd
Lyndhurst, OH 44124-2605
Mailing address
5044 Mayfield Rd
Lyndhurst, OH 44124-2605
Phone (216) 691-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Euclid-Lyndhurst City School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Lyndhurst, OH
- NPI 1598964827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793059200000",
"number": "1093613440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5044 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242605",
"telephone_number": "216-691-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5044 MAYFIELD RD",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242605",
"telephone_number": "216-691-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVY",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-27",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "OH",
"license": "22451563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.