Individual provider Active NPI

Aaron Muttillo, PHD

  • School Psychologist
  • Middleburg Heights, OH
National Provider Identifier
1215485594
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
SP578 Issued in OH
Practice address
7271 Engle Rd Ste 101
Middleburg Heights, OH 44130-8404
Phone
(216) 832-8368
NPI assigned
Sep 15, 2016
Last updated
Mar 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X SP578 OH Primary

Addresses

Primary practice location

7271 Engle Rd Ste 101
Middleburg Heights, OH 44130-8404

Mailing address

7271 Engle Rd Ste 101
Middleburg Heights, OH 44130-8404
Phone (216) 832-8368

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
SP578OHMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Understory Services and Supports, LLC School CurrentSince Mar 11, 2025 Accepting new patients
Positive Education Program Past Accepting new patients

Locations

7271 Engle Rd
Ste 101
Middleburg Heights, OH 44130
Phone (216) 832-8368

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/pepcleve/r4/

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": "1473897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1215485594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7271 ENGLE RD STE 101",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308404",
            "telephone_number": "216-832-8368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7271 ENGLE RD STE 101",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441308404",
            "telephone_number": "216-832-8368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUTTILLO",
        "first_name": "AARON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-15",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "SP578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.