Individual provider Active NPI

Sandra Wolfe Lavelle, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Willoughby, OH
National Provider Identifier
1457635229
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN.271541 Issued in OH
Practice address
36100 Euclid Ave Ste 350
Willoughby, OH 44094-4489
Phone
(440) 449-1540
NPI assigned
Sep 28, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN.271541 OH Primary
Nurse Practitioner 363L00000X RN.271541 OH

Addresses

Primary practice location

36100 Euclid Ave Ste 350
Willoughby, OH 44094-4489

Mailing address

PO Box 931596
Cleveland, OH 44193-1724
Phone (440) 449-1540

Other practice location 1

23625 Commerce Park Ste 180
Beachwood, OH 44122-5847
Phone (440) 382-7211

Other practice location 2

6555 Wilson Mills Rd Ste 103D
Mayfield Village, OH 44143-3435
Phone (440) 449-1540

Other practice location 3

5966 Heisley Rd Ste 104
Mentor, OH 44060-5849
Phone (440) 449-1540

Other practice location 4

35717 Euclid Ave
Willoughby, OH 44094-4618
Phone (440) 449-1540

Other identifiers 1

IdentifierTypeStateIssuer
RN.271541OtherOHLICENSE

Other names 1

  • Dr. Sandra Wolfe Lavelle Professional name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130626000191 OH Practitioner - Nurse Practitioner 9032358924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atrium Medical Group IncGroup PAC ID 4385626936, 12 clinicians

Practice addresses (Care Compare)

35717 Euclid Ave
Willoughby, OH 44094-4618
Phone (440) 449-1540

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.271541OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atrium Medical Group, Inc CurrentSince May 10, 2025 Accepting new patients
Dr Miodrag Zivic LLC CurrentSince Jan 11, 2021 Accepting new patients

Locations

25200 Chagrin Blvd
Ste 300
Cleveland, OH 44122
Phone (216) 383-2834

99 Northline Cir
Ste 200
Euclid, OH 44119
Phone (216) 383-5757

99 Northline Cir
Ste 215
Euclid, OH 44119
Phone (216) 383-2834

6555 Wilson Mills Rd
Ste 103D
Mayfield Village, OH 44143
Phone (440) 442-8313

6559 Wilson Mills Rd
Ste 106
Mayfield Vlg, OH 44143
Phone (855) 449-1540

5966 Heisley Rd
Ste 104
Mentor, OH 44060

35717 Euclid Ave
Willoughby, OH 44094
Phone (440) 354-0944

36100 Euclid Ave
Ste 350
Willoughby, OH 44094
Phone (440) 942-9308

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1457635229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 931596",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441931724",
            "telephone_number": "440-449-1540",
            "fax_number": "440-460-2833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36100 EUCLID AVE STE 350",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440944489",
            "telephone_number": "440-449-1540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23625 Commerce Park Ste 180",
            "address_purpose": "LOCATION",
            "city": "Beachwood",
            "state": "OH",
            "postal_code": "441225847",
            "country_code": "US",
            "telephone_number": "440-382-7211",
            "fax_number": "216-342-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6555 Wilson Mills Rd Ste 103D",
            "address_purpose": "LOCATION",
            "city": "Mayfield Village",
            "state": "OH",
            "postal_code": "441433435",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5966 Heisley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Mentor",
            "state": "OH",
            "postal_code": "440605849",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "35717 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Willoughby",
            "state": "OH",
            "postal_code": "440944618",
            "country_code": "US",
            "telephone_number": "440-449-1540",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVELLE",
        "first_name": "SANDRA",
        "middle_name": "WOLFE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-28",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RN.271541",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN.271541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "RN.271541",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LAVELLE",
            "middle_name": "WOLFE",
            "prefix": "DR.",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Willoughby, OH

Sources for this page

Verify at the official NPI Registry.