Robert Ussai, PMHNP

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Brecksville, OH

NPI 1679922017 · NPPES record last updated Feb 2, 2021

Key facts

NPI
1679922017
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
APRN.CNP.019784 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Medicare Care Compare profile

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 LLC (11 clinicians)
Psychological and Behavioral Consultants LLC (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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20170216000901 OH Practitioner - Nurse Practitioner 5597048504 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Master of Science

State licenses

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

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Current
since 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 (330) 576-0126

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

Specialties & licenses

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

Addresses

Primary practice location

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

Mailing address

340 South Broadway Street
Akron, OH 44308

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 2, 2021.

{
    "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

All providers in Brecksville, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio

Sources for this page

Verify at the official NPI Registry.