Individual provider Active NPI

Roger N Hess, PHD

  • Psychologist
  • Beachwood, OH
National Provider Identifier
1265420566
Registry record updated Mar 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
558 Issued in OH
Practice address
24100 Chagrin Blvd
Ste 140
Beachwood, OH 44122-5545
Phone
(216) 321-3025
Fax
(216) 831-1269
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 558 OH Primary

Addresses

Primary practice location

24100 Chagrin Blvd
Ste 140
Beachwood, OH 44122-5545

Mailing address

24100 Chagrin Blvd
Ste 140
Beachwood, OH 44122-5545
Phone (216) 321-3025

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
I20040527000521 OH Practitioner - Clinical Psychologist 1850372665 Practice locations: Beachwood, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

24100 Chagrin Blvd
Suite 140
Beachwood, OH 44122-5545
Phone (216) 321-3025

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
558OHMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1265420566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD",
            "address_2": "STE 140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225545",
            "telephone_number": "216-321-3025",
            "fax_number": "216-831-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24100 CHAGRIN BLVD",
            "address_2": "STE 140",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225545",
            "telephone_number": "216-321-3025",
            "fax_number": "216-831-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESS",
        "first_name": "ROGER",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.