Individual provider Active NPI

Robert Taylor Segraves, MD, PH.D

  • Geriatric Psychiatry Physician
  • Beachwood, OH
National Provider Identifier
1215963087
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
35053947 Issued in OH
Practice address
23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Phone
(216) 831-2900
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 35053947 OH Primary

Addresses

Primary practice location

23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446

Mailing address

23230 Chagrin Blvd
Suite 350
Beachwood, OH 44122-5446
Phone (216) 831-2900

Other identifiers 1

IdentifierTypeStateIssuer
0681472MedicaidOH

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)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
35053947OHMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Psychiatry Current Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

Interoperability endpoints

  • Direct secure messaging: rsegraves327740@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1215963087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-831-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23230 CHAGRIN BLVD",
            "address_2": "SUITE 350",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225446",
            "telephone_number": "216-831-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEGRAVES",
        "first_name": "ROBERT",
        "middle_name": "TAYLOR",
        "credential": "MD, PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "35053947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0681472",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; 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.