Elizabeth Victoria Koby, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35045217 Issued in OH

Practice address

4883 Middledale Rd
Lyndhurst, OH 44124-2522

Phone

(216) 691-1942

NPI assigned

Jul 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Nov 28, 2018 through Nov 28, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Caritas Medical Group, Inc.

  • Specialist
  • Brighton, MA
  • NPI 1174513204
  NPD (past)
• The Ross Center for Anxiety & Related Disorders Inc

  • Psychologist
  • Washington, DC
  • NPI 1417127663
  NPD (past)
• The Ross Center for Anxiety & Related Disorders, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
  • NPI 1578998563
  NPD (past)

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

{
    "created_epoch": "1216944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1871758110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4883 MIDDLEDALE ROAD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "44124",
            "telephone_number": "216-691-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4883 MIDDLEDALE RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441242522",
            "telephone_number": "216-691-1942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBY",
        "first_name": "ELIZABETH",
        "middle_name": "VICTORIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-25",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35045217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Kirk, DMD
• Kristin Kirkpatrick, MS, RD
• Helen E Kleinman, MA; PSY S
• Darvina Knaggs
• Javona Knowles
• Kogan & Kogan Dental, Inc.
• Kogan Sleep Center, Inc.
• Matthew David Kogan, D.M.D.
• Neil J Kogan, DMD
• Daniel Koplow, D.D.S.

• Psychiatry Physician in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.