Active NPI
Nick John Piazza, PH.D
- Psychologist
- Sylvania, OH
National Provider Identifier
1386640100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 4018
- Practice address
- 5300 Harroun Rd
Sylvania, OH 43560-2182 - Phone
- (419) 284-1100
- Fax
- (419) 824-1778
- NPI assigned
- Jun 27, 2005
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 4018 | OH | Primary |
Addresses
Primary practice location
5300 Harroun Rd
Sylvania, OH 43560-2182
Mailing address
5300 Harroun Rd
Sylvania, OH 43560-2182
Phone (419) 284-1100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0970632 | 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 |
|---|---|---|---|
| 4018 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1386640100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5300 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602182",
"telephone_number": "419-284-1100",
"fax_number": "419-824-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5300 HARROUN RD",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435602182",
"telephone_number": "419-284-1100",
"fax_number": "419-824-1778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIAZZA",
"first_name": "NICK",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "PH.D",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "4018",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0970632",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.