Individual provider Active NPI

Robert Devies, PHD

  • Clinical Psychologist
  • Canton, OH
National Provider Identifier
1457410144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1651 Issued in OH
Practice address
4572 Dressler Rd NW
Canton, OH 44718-2546
Phone
(330) 493-4220
Fax
(330) 493-8850
NPI assigned
Dec 8, 2006
Sex
Male
Sole proprietor
No

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 1651 OH Primary

Addresses

Primary practice location

4572 Dressler Rd NW
Canton, OH 44718-2546

Mailing address

4572 Dressler Rd NW
Canton, OH 44718-2546
Phone (330) 493-4220

Other identifiers 4

IdentifierTypeStateIssuer
0358447MedicaidOH
620000842OtherOHMEDICARE RAILROAD
000000130007OtherOHANTHEM
457398000OtherOHMAGELLAN

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
I20111119000020 OH Practitioner - Clinical Psychologist 4789588609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychological and Family Consultants, Inc.Group PAC ID 0446154355, 6 clinicians

Practice addresses (Care Compare)

4572 Dressler Rd NW
Canton, OH 44718-2546
Phone (330) 493-4220

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1651OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Family Consultants, Inc. CurrentSince Jul 1, 1990 Accepting new patients

Locations

1218 W State St
Alliance, OH 44601
Phone (330) 596-7655

4572 Dressler Rd NW
Canton, OH 44718
Phone (330) 493-4220

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457410144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4572 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-493-4220",
            "fax_number": "330-493-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4572 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182546",
            "telephone_number": "330-493-4220",
            "fax_number": "330-493-8850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVIES",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "1651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0358447",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "620000842",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000130007",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "457398000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.