Active NPI
Trysa Shulman, PSY.D.
- Clinical Psychologist
- Mayfield Village, OH
National Provider Identifier
1760636781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 6488
- Practice address
- 6700 Beta Dr Ste 301
Mayfield Village, OH 44143-2368 - Phone
- (440) 446-9696
- Fax
- (440) 449-1435
- NPI assigned
- Nov 5, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 6488 | OH | Primary |
Addresses
Primary practice location
6700 Beta Dr Ste 301
Mayfield Village, OH 44143-2368
Mailing address
6700 Beta Dr Ste 301
Mayfield Village, OH 44143-2368
Phone (440) 446-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6488 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Psychological Associates, Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychologist
- Highland Heights, OH
- NPI 1346298734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225843200000",
"number": "1760636781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 BETA DR STE 301",
"city": "MAYFIELD VILLAGE",
"state": "OH",
"postal_code": "441432368",
"telephone_number": "440-446-9696",
"fax_number": "440-449-1435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 BETA DR STE 301",
"city": "MAYFIELD VILLAGE",
"state": "OH",
"postal_code": "441432368",
"telephone_number": "440-446-9696",
"fax_number": "440-449-1435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHULMAN",
"first_name": "TRYSA",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-11-05",
"last_updated": "2008-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6488",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mayfield Village, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.