Individual provider Active NPI

Alyce M Cisine, PH.D.

  • Psychologist
  • Hubbard, OH
National Provider Identifier
1194981530
Registry record updated May 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
654 Warner Rd
Hubbard, OH 44425-2729
Phone
(330) 729-5358
NPI assigned
Aug 5, 2008
Last updated
May 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

654 Warner Rd
Hubbard, OH 44425-2729

Mailing address

654 Warner Rd
Hubbard, OH 44425
Phone (330) 729-5358

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
I20151202000252 OH Practitioner - Clinical Psychologist 0547560203 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Alyce Cisine, LLC CurrentSince Mar 7, 2017 Accepting new patients
Personal Counseling & Wellness, LLC Past Accepting new patients

Locations

972 Youngstown Kingsville Rd SE
Vienna, OH 44473
Phone (330) 729-5358

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715126400000",
    "number": "1194981530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "654 WARNER RD",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "44425",
            "telephone_number": "330-729-5358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 WARNER RD",
            "city": "HUBBARD",
            "state": "OH",
            "postal_code": "444252729",
            "telephone_number": "330-729-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISINE",
        "first_name": "ALYCE",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hubbard, OH

Sources for this page

Verify at the official NPI Registry.