Michelle Lynn Pizzuli, ED.S.

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

OH3083828 Issued in OH

Practice address

5935 Ackley Rd
Mound Stem
Cleveland, OH 44105-1162

Phone

(216) 307-3863

NPI assigned

Sep 19, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Michelle Lynn Goots Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1411084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411084800000",
    "number": "1255733440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 E 79TH ST",
            "address_2": "OFFICE OF PSYCHOLOGICAL SERVICES",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441032864",
            "telephone_number": "216-307-3863",
            "fax_number": "216-523-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 ACKLEY RD",
            "address_2": "MOUND STEM",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441051162",
            "telephone_number": "216-307-3863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIZZULI",
        "first_name": "MICHELLE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ED.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-19",
        "last_updated": "2014-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "OH",
            "license": "OH3083828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "GOOTS",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "ED.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• School Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• School Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2014; 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.