Individual provider Active NPI

Robert B. Sylvies, PSY.D

  • Clinical Psychologist
  • East Liverpool, OH
National Provider Identifier
1831158450
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
4795 Issued in OH
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0164339000MedicaidWV
0976592MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080111000585 OH Practitioner - Clinical Psychologist 0648351023 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4795OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Action Agency of Columbiana County Inc CurrentSince Aug 20, 2018 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.