Individual provider Active NPI

Cindy L Orlasky, PHD

  • Clinical Psychologist
  • Wooster, OH
National Provider Identifier
1245300086
Registry record updated Jan 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
3337 Issued in OH
Practice address
210 E Milltown Rd
Wooster, OH 44691-1246
Phone
(330) 345-0955
Fax
(330) 345-3420
NPI assigned
Nov 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2008

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 3337 OH Primary

Addresses

Primary practice location

210 E Milltown Rd
Wooster, OH 44691-1246

Mailing address

8131 Hubbard Valley Rd
Seville, OH 44273-9373
Phone (330) 769-3690

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
I20040211000077 OH Practitioner - Clinical Psychologist 8426942400 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jewish Family Service AssociationGroup PAC ID 8729990023, 20 clinicians

Practice addresses (Care Compare)

29125 Chagrin Blvd
Beachwood, OH 44122-4609
Phone (216) 292-3999

Merit-based Incentive Payment System (MIPS)

Final score
98.06 of 100Reported as group
Quality
90.22
Promoting interoperability
100
Improvement activities
40
Cost
69.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3337OHMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service Association Current Accepting new patients
Jewish Family Service Association CurrentSince Apr 1, 2024 Accepting new patients
Jewish Family Service Association CurrentSince Apr 1, 2024 Accepting new patients

Locations

29125 Chagrin Blvd
Beachwood, OH 44122
Phone (216) 504-6476

Organizations & group practices 3

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200355200000",
    "number": "1245300086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 HUBBARD VALLEY RD",
            "city": "SEVILLE",
            "state": "OH",
            "postal_code": "442739373",
            "telephone_number": "330-769-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E MILLTOWN RD",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446911246",
            "telephone_number": "330-345-0955",
            "fax_number": "330-345-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLASKY",
        "first_name": "CINDY",
        "middle_name": "L",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-09",
        "last_updated": "2008-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "3337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wooster, OH

Sources for this page

Verify at the official NPI Registry.