Individual provider Active NPI

Marc Boyer Dielman, PH.D.

  • Psychologist
  • Sylvania, OH
National Provider Identifier
1093713844
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
3996 Issued in OH
Practice address
5600 Monroe St
Suite 103B
Sylvania, OH 43560-2731
Phone
(419) 885-5952
Fax
(419) 885-7630
NPI assigned
Jul 13, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 3996 OH Primary

Addresses

Primary practice location

5600 Monroe St
Suite 103B
Sylvania, OH 43560-2731

Mailing address

5600 Monroe St
Suite 103B
Sylvania, OH 43560-2731
Phone (419) 885-5952

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130801000868 OH Practitioner - Clinical Psychologist 7911192521 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Solutions in Brief Therapy IncGroup PAC ID 7113112723, 2 clinicians

Practice addresses (Care Compare)

5600 Monroe St
103B
Sylvania, OH 43560-2795
Phone (419) 885-5952

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
3996OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Solutions in Brief Therapy, Inc. Psychologist CurrentSince Sep 1, 2010 Accepting new patients

Locations

5600 Monroe St
Ste 103B
Sylvania, OH 43560
Phone (419) 885-5922

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1093713844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 MONROE ST",
            "address_2": "SUITE 103B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602731",
            "telephone_number": "419-885-5952",
            "fax_number": "419-885-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 MONROE ST",
            "address_2": "SUITE 103B",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602731",
            "telephone_number": "419-885-5952",
            "fax_number": "419-885-7630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIELMAN",
        "first_name": "MARC",
        "middle_name": "BOYER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-13",
        "last_updated": "2026-07-13",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "3996",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.