Active NPI
Paul Yavornitzky, PH.D.
- Clinical Psychologist
- Westlake, OH
National Provider Identifier
1316059686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5364
- Practice address
- 29133 Health Campus Dr
Westlake, OH 44145-5256 - Phone
- (440) 835-6212
- Fax
- (440) 835-6231
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 5364 | OH | Primary |
Addresses
Primary practice location
29133 Health Campus Dr
Westlake, OH 44145-5256
Mailing address
29133 Health Campus Dr
Building #4
Westlake, OH 44145-5256
Phone (440) 835-6212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0308483 | Medicaid | OH |
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 Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5364 | OH | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Far West Center | Past | Accepting new patients |
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.
-
- Adult Mental Health Clinic/Center
- Amherst, OH
- NPI 1639135940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752537600000",
"number": "1316059686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29133 HEALTH CAMPUS DR",
"address_2": "BUILDING #4",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455256",
"telephone_number": "440-835-6212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29133 HEALTH CAMPUS DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441455256",
"telephone_number": "440-835-6212",
"fax_number": "440-835-6231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAVORNITZKY",
"first_name": "PAUL",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-07-15",
"certification_date": "2025-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5364",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0308483",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.