Individual provider Active NPI

Greer Anne Davis Cerveny, ED.S.

  • School Psychologist
  • Lyndhurst, OH
National Provider Identifier
1174933824
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP620 Issued in OH
Practice address
5420 Mayfield Rd Ste 202
Lyndhurst, OH 44124-2934
Phone
(440) 397-4056
NPI assigned
May 3, 2014
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X OH3151552 OH
School Psychologist 103TS0200X SP620 OH Primary

Addresses

Primary practice location

5420 Mayfield Rd Ste 202
Lyndhurst, OH 44124-2934

Mailing address

5420 Mayfield Rd Ste 202
Lyndhurst, OH 44124-2934
Phone (440) 397-4056

Other practice location 1

6240 Som Center Rd
#130
Solon, OH 44139-2950
Phone (440) 397-4056

Other names 1

  • Ms. Greer Anne Davis Former name

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

State licenses

LicenseStateTypeSpecialty
OH3151552OHMDSchool Psychologist
SP620OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievement Advantage Assessment & Services School 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.

NPI Registry JSON

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

{
    "created_epoch": "1399075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1174933824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 MAYFIELD RD STE 202",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242934",
            "telephone_number": "440-397-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 MAYFIELD RD STE 202",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242934",
            "telephone_number": "440-397-4056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6240 Som Center Rd",
            "address_2": "#130",
            "address_purpose": "LOCATION",
            "city": "Solon",
            "state": "OH",
            "postal_code": "441392950",
            "country_code": "US",
            "telephone_number": "440-397-4056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS CERVENY",
        "first_name": "GREER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-03",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3151552",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GREER",
            "last_name": "DAVIS",
            "middle_name": "ANNE",
            "prefix": "MS.",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 2, 2019; 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.