Individual provider Active NPI

Richard Rowlett, PHD

  • Psychologist
  • North Royalton, OH
National Provider Identifier
1336149699
Registry record updated Apr 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
P.5557 Issued in OH
Practice address
4350 Sir Robert Ave
North Royalton, OH 44133-4139
Phone
(440) 390-8903
NPI assigned
Jul 28, 2005
Last updated
Apr 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X P.5557 OH Primary

Addresses

Primary practice location

4350 Sir Robert Ave
North Royalton, OH 44133-4139

Mailing address

PO Box 660
Mentor, OH 44061-0660
Phone (440) 390-8903

Other practice location 1

4389 Medina Rd
Copley, OH 44321-1388
Phone (440) 390-8903

Other identifiers 3

IdentifierTypeStateIssuer
000000296011OtherOHANTHEM BLUE SHIELD
2206071MedicaidOH
432021960RROtherOHSUMMACARE

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
I20080905000424 OH Practitioner - Clinical Psychologist 1254407885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
28.16 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
93.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5557OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Consulting Group, Inc. Psychologist CurrentSince Jan 1, 1990 Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

1621 Flickinger Rd
Akron, OH 44312
Phone (330) 784-1271

4389 Medina Rd
Copley, OH 44321
Phone (234) 678-9332

330 Broadway St E
Cuyahoga Fls, OH 44221
Phone (330) 436-0910

30575 Euclid Ave
Willoughby Hills, OH 44092
Phone (440) 516-3776

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712534400000",
    "number": "1336149699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440610660",
            "telephone_number": "440-390-8903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 SIR ROBERT AVE",
            "city": "NORTH ROYALTON",
            "state": "OH",
            "postal_code": "441334139",
            "telephone_number": "440-390-8903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4389 Medina Rd",
            "address_purpose": "LOCATION",
            "city": "Copley",
            "state": "OH",
            "postal_code": "443211388",
            "country_code": "US",
            "telephone_number": "440-390-8903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROWLETT",
        "first_name": "RICHARD",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-04-08",
        "certification_date": "2024-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "P.5557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000296011",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2206071",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "432021960RR",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Royalton, OH

Sources for this page

Verify at the official NPI Registry.