Individual provider Active NPI

Abdelrahman Abdelaziz, MD

  • Psychiatry Physician
  • Westlake, OH
National Provider Identifier
1871960930
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35135690 Issued in OH
Practice address
25125 Detroit Rd Ste 100
Westlake, OH 44145-2500
Phone
(216) 293-0282
Fax
(440) 455-9757
NPI assigned
Aug 25, 2015
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 25MA11740600 NJ
Psychiatry Physician 2084P0800X C5764 KY
Psychiatry Physician 2084P0800X 35135690 OH Primary
Psychiatry Physician 2084P0800X MD465345 PA
Psychiatry Physician 2084P0800X C7-0005849 DE

Addresses

Primary practice location

25125 Detroit Rd Ste 100
Westlake, OH 44145-2500

Mailing address

25125 Detroit Ave.
Suite 100
Westlake, OH 44145-2500
Phone (216) 293-0282

Other practice location 1

25125 Detroit Ave.
Suite 100
Westlake, OH 44145-2500
Phone (216) 293-0282

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 3

130 1st St NW
Massillon, OH 44647-5452
Phone (330) 833-0234

Other practice location 4

206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 476-3422

Other practice location 5

270 Walton Way
Hopkinsville, KY 42240-6808
Phone (214) 764-7986

Other practice location 6

3050 Rio Dosa Dr
Lexington, KY 40509-1540
Phone (214) 764-7986

Other practice location 7

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 942-5000

Other practice location 8

1744 Payne Ave
Cleveland, OH 44114-2910
Phone (216) 623-6555

Other practice location 9

3700 Kolbe Rd
Lorain, OH 44053-1611
Phone (440) 960-4000

Other practice location 10

25350 Eureka Rd
Taylor, MI 48180-5050
Phone (734) 291-0007

Other practice location 11

1111 Hayes Ave
Sandusky, OH 44870-3006
Phone (194) 557-7400

Other practice location 12

625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374

Other practice location 13

1901 N DuPont Hwy
Springer Building
New Castle, DE 19720-1100
Phone (302) 255-2703

Other practice location 14

958 US Highway 64 E
Plymouth, NC 27962-9216
Phone (252) 793-7609

Other practice location 15

1061 Inkster Rd
Garden City, MI 48135-3168
Phone (342) 910-0077

Other practice location 16

145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404

Other practice location 17

1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone (513) 853-8520

Other identifiers 3

IdentifierTypeStateIssuer
35.135690OtherOHMEDICAL LICENSE
0347929MedicaidOH
103555209MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, MI, AZ, TX, NJ, TN, CO, LA, MS, WY, KS, MO, CA, KY15 enrollments
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.

Enrollment records 15

Enrollment IDStateProvider typePAC IDDetails
I20181108000054 PA Practitioner - Psychiatry 9931453032 Reassigns benefits to 7 organizations
I20190531002068 OH Practitioner - Psychiatry 9931453032 Reassigns benefits to 15 organizations
I20191024002601 MI Practitioner - Psychiatry 9931453032 Reassigns benefits to 4 organizations
I20210128003176 AZ Practitioner - Psychiatry 9931453032 Reassigns benefits to 2 organizations
I20211008000011 TX Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20230309002416 NJ Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20240306000464 TN Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20250626004213 CO Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20250626004247 LA Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20250807001284 MS Practitioner - Psychiatry 9931453032 Reassigns benefits to 2 organizations
I20251124004010 WY Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20251231002443 KS Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20260204003741 MO Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20260424002627 CA Practitioner - Psychiatry 9931453032 Reassigns benefits to 1 organization
I20260624002444 KY Practitioner - Psychiatry 9931453032

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindcare Solutions PCGroup PAC ID 2466779855, 19 clinicians
North Coast Professional Company, LLCGroup PAC ID 6305810201, 105 clinicians
TBD Acquisition II LLCGroup PAC ID 7911272257, 5 clinicians
CNP Operating Co LLCGroup PAC ID 8325263734, 63 clinicians
Psygenics IncGroup PAC ID 9436465820, 8 clinicians
Pacific Heritage Medical Group IncGroup PAC ID 7517284029, 62 clinicians
Folium IncGroup PAC ID 9234253188, 19 clinicians
Westlake America Clinic LLCGroup PAC ID 9830523414, 2 clinicians
AsnaaGroup PAC ID 9931429255, 7 clinicians
Bronson-Acadia Joint Venture LLCGroup PAC ID 4688031578, 19 clinicians
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (330) 536-3746

1111 Hayes Ave
Sandusky, OH 44870-3323
Phone (419) 557-7400

11150 Hwy 49
Gulfport, MS 39503-4110
Phone (228) 831-1700

1223 Market Ave N
Canton, OH 44714-2603
Phone (234) 999-4900

145 Irmc Dr
Indiana, PA 15701-3673
Phone (724) 357-7404

1501 S Potomac St
Aurora, CO 80012-5411
Phone (330) 536-3746

1660 Fort St
Trenton, MI 48183-2003
Phone (734) 304-4159

1995 Clarendon CT
Westlake, OH 44145-3001
Phone (724) 357-7404

201 14TH St
Wheatland, WY 82201-3201
Phone (330) 536-3746

211 4TH St
Alexandria, LA 71301-8421
Phone (330) 536-3746

2200 Good Hope Rd
Enola, PA 17025-1210
Phone (818) 518-9715

2316 E Meyer Blvd
Kansas City, MO 64132-1136
Phone (330) 536-3746

235 Table Rock Rd
Gettysburg, PA 17325-8552
Phone (717) 398-2025

25125 Detroit Rd
Suite 100
Westlake, OH 44145-2500
Phone (216) 293-0282

25350 Eureka Rd
Iamerica Taylor
Taylor, MI 48180-5050
Phone (313) 307-0088

3364 Kolbe Rd
Lorain, OH 44053-1628
Phone (440) 282-2244

4031 Aspen Grove Dr
Suite 390
Franklin, TN 37067-3118
Phone (330) 536-3746

426 Phoenix Dr
Chambersburg, PA 17201-4537
Phone (717) 261-9833

5550 Glenn Cross Rd
Battle Creek, MI 49015-4274
Phone (269) 256-4700

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

8055 Addison Rd
Masury, OH 44438-1204
Phone (330) 448-2547

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD465345PAMDGastroenterology Physician
C7-0005849DEMDPsychiatry Physician
35135690OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TBD Acquisition II, LLC CurrentSince Apr 21, 2025 Accepting new patients
University Primary Care Practices Inc Current Accepting new patients
Rakesh Ranjan M.D. & Assoc., Inc. Psychiatry CurrentSince Aug 7, 2019 Accepting new patients
Westlake America Clinic LLC Psychiatry CurrentSince Dec 1, 2019 Accepting new patients
HLN Physicians Inc Psychiatry CurrentSince Mar 3, 2021 Accepting new patients
Capital Health Multispecialty Group Psychiatry CurrentSince Mar 6, 2023 Accepting new patients
Bronson-Acadia Joint Venture, LLC CurrentSince Oct 1, 2024 Accepting new patients
Uhs of Parkwood Inc CurrentSince Aug 29, 2025 Accepting new patients
Henry Ford Health System Current Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2025 Accepting new patients
Rakesh Ranjan MD & Associates, Inc. CurrentSince Aug 7, 2019 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Jul 29, 2025 Accepting new patients
Highland Springs Physician Group, LLC Psychiatry Current Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Jul 1, 2025 Accepting new patients
Asnaa CurrentSince Apr 10, 2020 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 15, 2024 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jun 18, 2019 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince Jul 1, 2025 Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince Jan 1, 2026 Accepting new patients
Henry Ford Health System Psychiatry CurrentSince Oct 1, 2019 Accepting new patients
Pacific Heritage Medical Group Inc CurrentSince Oct 1, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc Psychiatry CurrentSince Apr 1, 2025 Accepting new patients
Indiana Healthcare Physician Services Inc CurrentSince Apr 1, 2025 Accepting new patients
Highland Springs Physician Group, LLC Psychiatry CurrentSince Jun 1, 2023 Accepting new patients
Mental Health Services for Homeless Persons, Inc. CurrentSince Aug 14, 2024 Accepting new patients
Uhs of Parkwood Inc Psychiatry CurrentSince Aug 29, 2025 Accepting new patients
Pennsylvania Integrative Clinical Services, Inc. CurrentSince Apr 30, 2022 Accepting new patients
Psygenics Inc Psychiatry CurrentSince Oct 20, 2020 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Feb 22, 2020 Accepting new patients
Uhs of Tucson LLC Psychiatry Current Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2019 Accepting new patients
Family & Community Services Inc CurrentSince Aug 14, 2019 Accepting new patients
TBD Acquisition II LLC CurrentSince Apr 21, 2025 Accepting new patients
Firelands Regional Medical Center Current Accepting new patients
Dublin Springs Physician Group, LLC Psychiatry CurrentSince Jul 30, 2019 Accepting new patients
North Coast Professional Company, LLC CurrentSince Jun 18, 2019 Accepting new patients
Steward Medical Group Inc. Current Accepting new patients
Eastern Pennsylvania Physician Alliance LLC CurrentSince Nov 25, 2024 Accepting new patients
Henry Ford Health System CurrentSince Oct 1, 2019 Accepting new patients
Family & Community Services, Inc CurrentSince Aug 14, 2019 Accepting new patients
Uhs of Tucson LLC CurrentSince Jun 15, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC Psychiatry CurrentSince Jul 29, 2025 Accepting new patients
University Primary Care Practices Inc CurrentSince Aug 1, 2019 Accepting new patients
Mindcare Solutions PC Psychiatry CurrentSince Dec 1, 2025 Accepting new patients
Dublin Springs, LLC Past Accepting new patients
Mercy Health-Regional Medical Center LLC Past Accepting new patients
BHC Belmont Pines Hospital, Inc Past Accepting new patients
Dublin Springs, LLC Past Accepting new patients
Kolbe II Leasing Co., LLC Past Accepting new patients
Uhs BH Telepsych FL, PLLC Psychiatry PastSince Sep 5, 2021 Accepting new patients
Lenawee Community Mental Health Authority Past Accepting new patients

Locations (25 of 61)

2695 N Craycroft Rd
Tucson, AZ 85712
Phone (520) 322-2888

155 Cadillac Dr
Ste 110
Sacramento, CA 95825
Phone (888) 880-8443

2393 Townsgate Rd
Ste 104
Westlake Village, CA 91361
Phone (805) 601-5199

100 E College Dr
Colby, KS 67701
Phone (785) 462-7511

10500 Quivira Rd
Shawnee Mission, KS 66215
Phone (913) 227-0565

5550 Glenn Cross Rd
Battle Creek, MI 49015
Phone (269) 256-4700

8594 N Canton Center Rd
Canton, MI 48187
Phone (313) 307-0088

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

19445 W Warren Ave
Detroit, MI 48228
Phone (313) 307-0088

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

7800 W Outer Dr
Fl 3
Detroit, MI 48235

7800 W Outer Dr
Ste 300
Detroit, MI 48235
Phone (313) 283-5135

10300 W 8 Mile Rd
Ferndale, MI 48220
Phone (248) 398-3200

1061 Inkster Rd
Garden City, MI 48135
Phone (313) 307-0088

3120 Carpenter St
Ste 211
Hamtramck, MI 48212
Phone (313) 893-2483

27085 Gratiot Ave
Ste 101
Roseville, MI 48066
Phone (586) 204-5560

27085 Gratiot Ave
Ste 107
Roseville, MI 48066
Phone (586) 285-5361

25350 Eureka Rd
Taylor, MI 48180
Phone (313) 307-0088

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

615 W Nursery St
Butler, MO 64730
Phone (660) 200-2004

19600 E 39th St S
Independence, MO 64057
Phone (816) 698-7000

2316 E Meyer Blvd
Kansas City, MO 64132
Phone (816) 276-4360

11150 Highway 49
Gulfport, MS 39503
Phone (228) 575-1000

8135 Goodman Rd
Olive Branch, MS 38654
Phone (662) 893-7102

850 Towbin Ave
Lakewood, NJ 08701
Phone (732) 886-6202

Interoperability endpoints

  • Direct secure messaging: aabdelaziz195988@direct-lghealth.org
  • Direct secure messaging: aabdelaziz2951585@direct.bsmhealth.org
  • Direct secure messaging: aabdelaziz35258@hhsc.direct-ci.com
  • Direct secure messaging: aabdelaziz35952@ehrdirect.uhhospitals.org
  • Direct secure messaging: aabdelaziz54407@direct.conemaugh.org
  • Direct secure messaging: abdelrahman.abdelaziz.1@15594.direct.athenahealth.com
  • Direct secure messaging: abdelrahman.abdelaziz.1@3548.direct.athenahealth.com

Organizations & group practices 56

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 56

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1871960930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25125 DETROIT AVE.",
            "address_2": "SUITE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452500",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25125 DETROIT RD STE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452500",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25125 Detroit Ave.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Westlake",
            "state": "OH",
            "postal_code": "441452500",
            "country_code": "US",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 1st St NW",
            "address_purpose": "LOCATION",
            "city": "Massillon",
            "state": "OH",
            "postal_code": "446475452",
            "country_code": "US",
            "telephone_number": "330-833-0234",
            "fax_number": "330-837-7705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "206 E Brown St",
            "address_purpose": "LOCATION",
            "city": "East Stroudsburg",
            "state": "PA",
            "postal_code": "183013006",
            "country_code": "US",
            "telephone_number": "570-476-3422",
            "fax_number": "570-476-3346",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Walton Way",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422406808",
            "country_code": "US",
            "telephone_number": "214-764-7986",
            "fax_number": "214-774-5824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Rio Dosa Dr",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091540",
            "country_code": "US",
            "telephone_number": "214-764-7986",
            "fax_number": "214-774-5824",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Howard Ave",
            "address_purpose": "LOCATION",
            "city": "Altoona",
            "state": "PA",
            "postal_code": "166014804",
            "country_code": "US",
            "telephone_number": "814-942-5000",
            "fax_number": "814-942-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1744 Payne Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441142910",
            "country_code": "US",
            "telephone_number": "216-623-6555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Kolbe Rd",
            "address_purpose": "LOCATION",
            "city": "Lorain",
            "state": "OH",
            "postal_code": "440531611",
            "country_code": "US",
            "telephone_number": "440-960-4000",
            "fax_number": "440-960-4017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25350 Eureka Rd",
            "address_purpose": "LOCATION",
            "city": "Taylor",
            "state": "MI",
            "postal_code": "481805050",
            "country_code": "US",
            "telephone_number": "734-291-0007",
            "fax_number": "313-281-2235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Hayes Ave",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "OH",
            "postal_code": "448703006",
            "country_code": "US",
            "telephone_number": "194-557-7400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Cleveland Ave NW",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "OH",
            "postal_code": "447021805",
            "country_code": "US",
            "telephone_number": "330-455-0374",
            "fax_number": "330-455-2101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 N DuPont Hwy",
            "address_2": "Springer Building",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197201100",
            "country_code": "US",
            "telephone_number": "302-255-2703",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "958 US Highway 64 E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NC",
            "postal_code": "279629216",
            "country_code": "US",
            "telephone_number": "252-793-7609",
            "fax_number": "252-318-8274",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1061 Inkster Rd",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "MI",
            "postal_code": "481353168",
            "country_code": "US",
            "telephone_number": "342-910-0077",
            "fax_number": "313-281-2235",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Irmc Dr",
            "address_purpose": "LOCATION",
            "city": "Indiana",
            "state": "PA",
            "postal_code": "157013673",
            "country_code": "US",
            "telephone_number": "724-357-7404",
            "fax_number": "724-357-7471",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1530 Lone Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Paducah",
            "state": "KY",
            "postal_code": "420037901",
            "country_code": "US",
            "telephone_number": "513-853-8520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "ABDELRAHMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-25",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA11740600",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KY",
            "license": "C5764",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35135690",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD465345",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "DE",
            "license": "C7-0005849",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "35.135690",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347929",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103555209",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake, OH

Sources for this page

Verify at the official NPI Registry.