Individual provider Active NPI

Lydia Nahvala

  • Psychiatric/Mental Health Nurse Practitioner
  • Wickliffe, OH
National Provider Identifier
1104700798
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0039951 Issued in OH
Practice address
1919 Bishop Rd
Wickliffe, OH 44092-2518
Phone
(440) 944-9400
NPI assigned
Aug 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0039951 OH Primary

Addresses

Primary practice location

1919 Bishop Rd
Wickliffe, OH 44092-2518

Mailing address

34200 Ridge Rd Apt 317
Willoughby, OH 44094-2959
Phone (440) 622-8842

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250827001372 OH Practitioner - Nurse Practitioner 3072014612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alliant Treatment CenterGroup PAC ID 9133486285, 4 clinicians

Practice addresses (Care Compare)

3535 Lee Rd
Shaker Heights, OH 44120-5122
Phone (216) 554-4211

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0039951OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alliant Treatment Center Current Accepting new patients
Alliant Treatment Center CurrentSince Aug 13, 2025 Accepting new patients
Alliant Treatment Center CurrentSince Aug 13, 2025 Accepting new patients

Locations

3535 Lee Rd
Shaker Hts, OH 44120
Phone (216) 417-6166

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1754352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1104700798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34200 RIDGE RD APT 317",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440942959",
            "telephone_number": "440-622-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 BISHOP RD",
            "city": "WICKLIFFE",
            "state": "OH",
            "postal_code": "440922518",
            "telephone_number": "440-944-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAHVALA",
        "first_name": "LYDIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-05",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0039951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickliffe, OH

Sources for this page

Verify at the official NPI Registry.