Individual provider Active NPI

Robert Chwast, PH.D

  • Clinical Psychologist
  • Westlake, OH
National Provider Identifier
1366523714
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2803 Issued in OH
Practice address
30400 Detroit Road
Suite 210
Westlake, OH 44145-1855
Phone
(440) 899-7708
NPI assigned
Oct 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 2803 OH Primary

Addresses

Primary practice location

30400 Detroit Road
Suite 210
Westlake, OH 44145-1855

Mailing address

17100 Van Aken Blvd Apt 105
Suite 105
Shaker Heights, OH 44120-3637
Phone (216) 751-5629

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
I20050113000667 OH Practitioner - Clinical Psychologist 6002865334 Practice locations: Shaker HTS, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

17100 Van Aken Blvd
Apt 106
Shaker HTS, OH 44120-3637
Phone (440) 899-7708

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2803OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Consultants Inc Clinical PastSince Nov 7, 1997 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/psychologyconsultantsinc/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366523714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 VAN AKEN BLVD APT 105",
            "address_2": "SUITE 105",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203637",
            "telephone_number": "216-751-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30400 DETROIT ROAD",
            "address_2": "SUITE 210",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441451855",
            "telephone_number": "440-899-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHWAST",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "2803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.