Individual provider Active NPI

Chelsea Kalynn Meng, PSY.D.

  • Clinical Neuropsychologist
  • Middleburg Heights, OH
National Provider Identifier
1467970111
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
P.07727 Issued in OH
Practice address
16600 W Sprague Rd Ste 190
Middleburg Heights, OH 44130-6398
Phone
(216) 714-0092
Fax
(216) 284-7632
NPI assigned
Sep 1, 2017
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X P.07727 OH
Clinical Neuropsychologist 103G00000X P.07727 OH Primary

Addresses

Primary practice location

16600 W Sprague Rd Ste 190
Middleburg Heights, OH 44130-6398

Mailing address

16600 W Sprague Rd Ste 190
Middleburg Heights, OH 44130-6398
Phone (216) 714-0092

Other practice location 1

8180 Brecksville Rd # 115
Brecksville, OH 44141
Phone (440) 546-0048 ext. 5

Other names 1

  • Miss Chelsea Kalynn Kociuba Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: No
  • 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
I20180716000366 OH Practitioner - Clinical Psychologist 7214284728

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.07727OHMDClinical Neuropsychologist

NPI Registry JSON

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1467970111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 190",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306398",
            "telephone_number": "216-714-0092",
            "fax_number": "216-284-7632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16600 W SPRAGUE RD STE 190",
            "city": "MIDDLEBURG HEIGHTS",
            "state": "OH",
            "postal_code": "441306398",
            "telephone_number": "216-714-0092",
            "fax_number": "216-284-7632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8180 Brecksville Rd # 115",
            "address_purpose": "LOCATION",
            "city": "Brecksville",
            "state": "OH",
            "postal_code": "44141",
            "country_code": "US",
            "telephone_number": "440-546-0048 x5",
            "fax_number": "888-828-2326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENG",
        "first_name": "CHELSEA",
        "middle_name": "KALYNN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.07727",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "OH",
            "license": "P.07727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHELSEA",
            "last_name": "KOCIUBA",
            "middle_name": "KALYNN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Middleburg Heights, OH

Sources for this page

Verify at the official NPI Registry.