Individual provider Active NPI

Scott A Schmitt, M.D.

  • Psychiatry Physician
  • Independence, OH
National Provider Identifier
1770516635
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35073984 Issued in OH
Practice address
4807 Rockside Rd
Ste 300
Independence, OH 44131-6802
Phone
(216) 503-9489
Fax
(216) 503-9492
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35073984 OH Primary

Addresses

Primary practice location

4807 Rockside Rd
Ste 300
Independence, OH 44131-6802

Mailing address

4807 Rockside Rd
Ste 300
Independence, OH 44131-6802
Phone (216) 503-9489

Other practice location 1

5655 Hudson Dr Ste 305
Hudson, OH 44236-4454
Phone (330) 650-2111

Other identifiers 1

IdentifierTypeStateIssuer
3050915MedicaidOH

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
I20061010000011 OH Practitioner - Psychiatry 7012928930 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Pittsburgh School of Medicine, 1988
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

Practice addresses (Care Compare)

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

24700 Ctr Ridge Rd
Suite 380
Westlake, OH 44145-5665
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35073984OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Psychological Associates, Inc. Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/summit-psychological/r4/
  • Direct secure messaging: scott.schmitt.1@18773.direct.athenahealth.com

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1770516635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4807 ROCKSIDE RD",
            "address_2": "STE 300",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316802",
            "telephone_number": "216-503-9489",
            "fax_number": "216-503-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4807 ROCKSIDE RD",
            "address_2": "STE 300",
            "city": "INDEPENDENCE",
            "state": "OH",
            "postal_code": "441316802",
            "telephone_number": "216-503-9489",
            "fax_number": "216-503-9492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5655 Hudson Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442364454",
            "country_code": "US",
            "telephone_number": "330-650-2111",
            "fax_number": "330-650-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHMITT",
        "first_name": "SCOTT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35073984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3050915",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, OH

Sources for this page

Verify at the official NPI Registry.