Individual provider Active NPI

Zyama Goldman, MD

  • Psychiatry Physician
  • Shaker Heights, OH
National Provider Identifier
1255441267
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35062562G Issued in OH
Practice address
20600 Chagrin Blvd
Suite 620
Shaker Heights, OH 44122-5327
Phone
(216) 751-4762
Fax
(216) 751-5894
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35062562G OH Primary

Addresses

Primary practice location

20600 Chagrin Blvd
Suite 620
Shaker Heights, OH 44122-5327

Mailing address

20600 Chagrin Blvd
Suite 620
Shaker Heights, OH 44122-5327
Phone (216) 751-4762

Other identifiers 1

IdentifierTypeStateIssuer
0934869MedicaidOH

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

State licenses

LicenseStateTypeSpecialty
35062562GOHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Generations Behavioral Health-Geneva LLC CurrentSince Jan 26, 2015 Accepting new patients
Chattree and Associates LTD PastSince Jun 26, 1999 Accepting new patients
Generations Behavioral Health-Youngstown, LLC PastSince Sep 12, 2016 Accepting new patients
Laurelwood Associates Inc Past Accepting new patients

Organizations & group practices 4

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255441267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD",
            "address_2": "SUITE 620",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "216-751-4762",
            "fax_number": "216-751-5894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD",
            "address_2": "SUITE 620",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225327",
            "telephone_number": "216-751-4762",
            "fax_number": "216-751-5894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDMAN",
        "first_name": "ZYAMA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35062562G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0934869",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.