Individual provider Active NPI

Elizabeth Corbin, PSYD

  • Clinical Psychologist
  • Heath, OH
National Provider Identifier
1164295291
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08555 Issued in OH
Practice address
919 Fieldson Dr
Heath, OH 43056-1522
Phone
(740) 616-6790
NPI assigned
Oct 31, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 P.08555 OH Primary

Addresses

Primary practice location

919 Fieldson Dr
Heath, OH 43056-1522

Mailing address

PO Box 2272
Heath, OH 43056-0272

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
I20240223002884 OH Practitioner - Clinical Psychologist 6800231325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ace Psychological Services LLCGroup PAC ID 7810217536, 12 clinicians

Practice addresses (Care Compare)

575 Industrial Pkwy
Heath, OH 43056-1647
Phone (740) 877-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.08555OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ace Psychological Services LLC CurrentSince Jul 1, 2025 Accepting new patients
Mid-Ohio Psychological Services Inc PastSince Oct 5, 2021 Accepting new patients

Locations

575 Industrial Pkwy
Heath, OH 43056
Phone (740) 618-8388

Organizations & group practices 2

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": "1698710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1164295291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2272",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430560272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 FIELDSON DR",
            "city": "HEATH",
            "state": "OH",
            "postal_code": "430561522",
            "telephone_number": "740-616-6790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIN",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-31",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heath, OH

Sources for this page

Verify at the official NPI Registry.