Individual provider Active NPI

Boris Royak, MD

  • Psychiatry Physician
  • Beachwood, OH
National Provider Identifier
1528091899
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.081164 Issued in OH
Practice address
25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone
(216) 450-1613
Fax
(216) 450-1614
NPI assigned
Jul 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35-081164 OH
Psychiatry Physician 2084P0800X 35.081164 OH Primary

Addresses

Primary practice location

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328

Mailing address

25700 Science Park Dr Ste 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

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
I20040413001440 OH Practitioner - Psychiatry 7719971530 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Recovery Concepts, LLCGroup PAC ID 5991005860, 37 clinicians

Practice addresses (Care Compare)

25700 Science Park Dr
Suite 210
Beachwood, OH 44122-7328
Phone (216) 450-1613

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-081164OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Recovery Concepts LLC Psychiatry CurrentSince Jun 1, 2017 Accepting new patients
Axis Mental Health and Wellness Past Accepting new patients
Zyama Goldman MD Inc Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients

Locations

25700 Science Park Dr
Ste 210
Beachwood, OH 44122
Phone (216) 452-1613

4510 Dressler Rd NW
Canton, OH 44718
Phone (330) 494-5155

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

3591 Reserve Commons Dr
Ste 100
Medina, OH 44256
Phone (330) 721-6504

850 Marseilles Ave
Upper Sandusky, OH 43351
Phone (419) 294-4973

29055 Clemens Rd
#A
Westlake, OH 44145

196 Colonial Dr
Youngstown, OH 44505
Phone (234) 232-7500

5208 Mahoning Ave
Ste 209
Youngstown, OH 44515
Phone (330) 792-5247

Organizations & group practices 4

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": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1528091899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25700 SCIENCE PARK DR STE 210",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441227328",
            "telephone_number": "216-450-1613",
            "fax_number": "216-450-1614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYAK",
        "first_name": "BORIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-09",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-081164",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.081164",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

Verify at the official NPI Registry.