Individual provider Active NPI

James P Psarras, M.D.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1396783254
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.045819 Issued in OH
Practice address
29425 Chagrin Blvd
Suite 301
Cleveland, OH 44122-4639
Phone
(330) 758-4515
Fax
(330) 758-5121
NPI assigned
Jun 3, 2006
Last updated
Nov 14, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.045819 OH Primary

Addresses

Primary practice location

29425 Chagrin Blvd
Suite 301
Cleveland, OH 44122-4639

Mailing address

29425 Chagrin Blvd
Suite 301
Cleveland, OH 44122-4639
Phone (330) 758-4515

Other identifiers 1

IdentifierTypeStateIssuer
0479192MedicaidOH

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040128000752 OH Practitioner - Psychiatry 3870496896 Reassigns benefits to 2 organizations
Practice locations: Beachwood, OH; Willoughby, OH

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

29125 Chagrin Blvd
Beachwood, OH 44122-4609
Phone (216) 292-3999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.045819OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laurelwood Associates Inc CurrentSince Jun 1, 2022 Accepting new patients
HHC Ohio Inc Past Accepting new patients

Locations

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

Organizations & group practices 3

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1396783254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29425 CHAGRIN BLVD",
            "address_2": "SUITE 301",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224639",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29425 CHAGRIN BLVD",
            "address_2": "SUITE 301",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441224639",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PSARRAS",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.045819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479192",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.