Active NPI
Paul G. Josell, PSYD
- Clinical Psychologist
- Highland Heights, OH
National Provider Identifier
1336248079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5028
- Practice address
- 675 Alpha Dr Ste E
Highland Heights, OH 44143-2139 - Phone
- (440) 473-9695
- NPI assigned
- Sep 21, 2006
- Last updated
- Dec 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5128 | OH | |
| Clinical Psychologist | 103TC0700X | 5028 | OH | Primary |
Addresses
Primary practice location
675 Alpha Dr Ste E
Highland Heights, OH 44143-2139
Mailing address
5564 Wilson Mills Rd Ste 201
Highland Heights, OH 44143-3265
Phone (440) 461-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2987424 | Medicaid | OH |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130226000656 | OH | Practitioner - Clinical Psychologist | 5698920528 | Practice locations: Highland Heights, OH |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
675 Alpha Dr
Suite E
Highland Heights, OH 44143-2139
Phone (440) 473-9695
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5028 | OH | MD | Clinical Psychologist |
| 5128 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RGN Counseling LLC | Single Specialty | Past | Accepting new patients |
| KLS Counseling LLC | Single Specialty | Past | Accepting new patients |
Organizations & group practices 2
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": "1158796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1608249600000",
"number": "1336248079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5564 WILSON MILLS RD STE 201",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441433265",
"telephone_number": "440-461-1255",
"fax_number": "440-461-1047"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 ALPHA DR STE E",
"city": "HIGHLAND HEIGHTS",
"state": "OH",
"postal_code": "441432139",
"telephone_number": "440-473-9695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSELL",
"first_name": "PAUL",
"middle_name": "G.",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-21",
"last_updated": "2020-12-18",
"certification_date": "2020-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": "OH",
"license": "5128",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5028",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2987424",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.