Individual provider Active NPI

Robert Ussai, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Brecksville, OH
National Provider Identifier
1679922017
Registry record updated Feb 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.019784 Issued in OH
Practice address
6802 W Snowville Rd Ste B
Brecksville, OH 44141-3296
Phone
(216) 831-6611
Fax
(216) 831-2726
NPI assigned
Jun 7, 2016
Last updated
Feb 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.019784 OH Primary

Addresses

Primary practice location

6802 W Snowville Rd Ste B
Brecksville, OH 44141-3296

Mailing address

340 South Broadway Street
Akron, OH 44308

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
I20170216000901 OH Practitioner - Nurse Practitioner 5597048504 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenbrook TMS Cleveland LLCGroup PAC ID 8921340415, 11 clinicians
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

23240 Chagrin Blvd
Suite 135
Beachwood, OH 44122-5455
Phone (855) 940-4867

3560 W Market St
Suite 205
Fairlawn, OH 44333-2688
Phone (855) 940-4867

4807 Rockside Rd
Suite 450
Independence, OH 44131-2192
Phone (855) 940-4867

6802 W Snowville Rd
Suite B
Brecksville, OH 44141-3296
Phone (216) 831-6611

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
APRN.CNP.019784OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC CurrentSince Feb 10, 2018 Accepting new patients

Locations

6802 W Snowville Rd
Ste B
Brecksville, OH 44141
Phone (440) 260-8528

822 Kumho Dr
Ste 101
Fairlawn, OH 44333
Phone (253) 245-1807

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Interoperability endpoints

  • Direct secure messaging: pbc.robertussai@140094.advancedmd-direct.com
  • Direct secure messaging: robert.ussai.1@18773.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612224000000",
    "number": "1679922017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SOUTH BROADWAY STREET",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6802 W SNOWVILLE RD STE B",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441413296",
            "telephone_number": "216-831-6611",
            "fax_number": "216-831-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USSAI",
        "first_name": "ROBERT",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-07",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.019784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.