Vijaykumar Balraj, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5706 Issued in OH

Practice address

8472 Cotter St
Lewis Center, OH 43035-7139

Phone

(614) 430-9697

Fax

(614) 430-9837

NPI assigned

May 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

Clinical Psychologist

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Medpsych Ohio Valley , IncGroup PAC ID 3971514332, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Medpsych Ohio Valley , Inc

  • Psychologist
  • Lewis Center, OH
  • NPI 1346291085
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1376592790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8472 COTTER ST",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357139",
            "telephone_number": "614-430-9697",
            "fax_number": "614-430-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8472 COTTER ST",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430357139",
            "telephone_number": "614-430-9697",
            "fax_number": "614-430-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALRAJ",
        "first_name": "VIJAYKUMAR",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5706",
            "primary": true
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "5706",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "31172544900",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2219227",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "311725449",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ann Catherine Aycock
• Mayrna Ayyoub
• Alfred Thomas Bachman, DDS
• Sara Bailey
• Carly Baird
• Olurotimi Banjoko, P.N.
• Banyan Mental Health Solutions
• Cayla R Barcheski- Williamson, M.A. CCC-SLP
• Michael Robert Baria, M.D.
• Madeline Taylor Barnett

• Psychologist in Lewis Center, OH
• Providers in Lewis Center, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.

Verify at the official NPI Registry.