Active NPI
Robert B. Sylvies, PSY.D
- Clinical Psychologist
- East Liverpool, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 4795
- Practice address
- 416 Jackson St
East Liverpool, OH 43920-2955 - Phone
- (330) 386-7870
- Fax
- (330) 382-9075
- NPI assigned
- Mar 22, 2006
- Sex
- Male
- 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 | 4795 | OH | Primary |
Addresses
Primary practice location
416 Jackson St
East Liverpool, OH 43920-2955
Mailing address
13396 Dray LN
East Liverpool, OH 43920-9596
Phone (330) 386-7870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164339000 | Medicaid | WV | |
| 0976592 | Medicaid | OH |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4795 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Action Agency of Columbiana County Inc | Current | Accepting new patients | |
| Community Action Agency of Columbiana County, Inc | Past | Accepting new patients | |
| Community Action Agency of Columbiana County Inc | Past | Accepting new patients |
Locations
16687 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-1108
16480 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7777
16494 Saint Clair Ave
East Liverpool, OH 43920
Phone (330) 386-7870
7880 Lincole Pl
Lisbon, OH 44432
Phone (330) 424-5686
2376 Southeast Blvd
Salem, OH 44460
Phone (330) 337-7255
103 W Main St
Salineville, OH 43945
Phone (330) 679-2303
Interoperability endpoints
- robert.sylvies.p1@direct.sandy.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lisbon, OH
- NPI 1821041401
-
- Federally Qualified Health Center (FQHC)
- Salineville, OH
- NPI 1508114893
-
- Federally Qualified Health Center (FQHC)
- Salem, OH
- NPI 1356064414
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831158450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13396 DRAY LN",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209596",
"telephone_number": "330-386-7870",
"fax_number": "330-382-9075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 JACKSON ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202955",
"telephone_number": "330-386-7870",
"fax_number": "330-382-9075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SYLVIES",
"first_name": "ROBERT",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PSY.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "4795",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164339000",
"state": "WV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0976592",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.