Active NPI
Richard B. Pazol, PSY.D.
- Clinical Psychologist
- Lyndhurst, OH
National Provider Identifier
1831437425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 5621
- Practice address
- 5001 Mayfield Rd
Suite 115, Office 6
Lyndhurst, OH 44124-2602 - Phone
- (216) 536-3926
- NPI assigned
- Jan 17, 2013
- 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 | 5621 | OH | Primary |
Addresses
Primary practice location
5001 Mayfield Rd
Suite 115, Office 6
Lyndhurst, OH 44124-2602
Mailing address
14250 Larchmere Blvd
Shaker Heights, OH 44120-1316
Phone (216) 536-3926
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5621 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological Transitions, Inc | Clinical | 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.
-
- Clinical Psychologist
- Port Clinton, OH
- NPI 1902914278
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358380800000",
"number": "1831437425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14250 LARCHMERE BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441201316",
"telephone_number": "216-536-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 MAYFIELD RD",
"address_2": "SUITE 115, OFFICE 6",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242602",
"telephone_number": "216-536-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAZOL",
"first_name": "RICHARD",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-01-17",
"last_updated": "2013-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "5621",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lyndhurst, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.