Pamela M. Nilsson, PH.D., LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

6455 Issued in OH

Legal business name

PAMELA M. NILSSON, PH.D., LLC

Practice address

23811 Chagrin Blvd Ste 248
Beachwood, OH 44122-5560

Phone

(216) 789-3878

Fax

(216) 920-6288

NPI assigned

Feb 17, 2011

Last updated

Jan 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Pamela M. Nilsson, PH.D.NPI 1396058327

Title

Clinical Psychologist

Phone

(216) 789-3878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela M. Nilsson, PH.D.

  • Clinical Psychologist
  • Beachwood, OH
  • NPI 1396058327
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1297900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1447557954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 248",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225560",
            "telephone_number": "216-299-6843",
            "fax_number": "216-920-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD STE 248",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225560",
            "telephone_number": "216-789-3878",
            "fax_number": "216-920-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA M. NILSSON, PH.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-17",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "NILSSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "216-789-3878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "6455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice J Palechka, ARNP
• John Pallas
• Camille Palma, M.D.
• Alice Marie Palmer, LISW-S
• Jeffrey S Palmer, MD
• Mayur M Pandya, DO
• Melissa Pantel-Ku, LISW-S
• Parafill LLC
• Paragon Imaging of Oh, LLC
• Paragon Medical Group of Oh, LLC

• Adult Mental Health Clinic/Center in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.