Individual provider Active NPI

Brithany Pawloski, PSY.D

  • Clinical Psychologist
  • Sylvania, OH
National Provider Identifier
1861726739
Registry record updated Sep 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6582 Issued in OH
Practice address
5465 Main St
Sylvania, OH 43560-2155
Phone
(419) 885-8800
Fax
(419) 885-8600
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2009

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 6582 OH Primary

Addresses

Primary practice location

5465 Main St
Sylvania, OH 43560-2155

Mailing address

10344 Obee Rd
Whitehouse, OH 43571-9672
Phone (419) 345-0204

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
I20141219001917 OH Practitioner - Clinical Psychologist 5092038240 Practice locations: Sylvania, OH

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4930 N Holland Sylvania Rd
Sylvania, OH 43560-2178
Phone 41953709003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253836800000",
    "number": "1861726739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10344 OBEE RD",
            "city": "WHITEHOUSE",
            "state": "OH",
            "postal_code": "435719672",
            "telephone_number": "419-345-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5465 MAIN ST",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602155",
            "telephone_number": "419-885-8800",
            "fax_number": "419-885-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLOSKI",
        "first_name": "BRITHANY",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2009-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.