Ronald James Lewellyn, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4295 Issued in OH

Practice address

827 Southwestern Run
Poland, OH 44514-3688

Phone

(330) 758-3819

Fax

(330) 758-4965

NPI assigned

May 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

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

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Northeast Ohio Psychological Consultants, LTD.

  • Clinic/Center
  • Poland, OH
  • NPI 1396797387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317859200000",
    "number": "1881648491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-758-3819",
            "fax_number": "330-758-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 SOUTHWESTERN RUN",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143688",
            "telephone_number": "330-758-3819",
            "fax_number": "330-758-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWELLYN",
        "first_name": "RONALD",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "OH",
            "license": "4295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM IND #",
            "identifier": "000000248739",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID#",
            "identifier": "11389741",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO LICENSE #",
            "identifier": "4295",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHS #",
            "identifier": "334924",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GM/PACKARD/CIGNA",
            "identifier": "162919",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS #",
            "identifier": "227276000",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julianne Renee Laird, COTA/L
• Deena Lambert, PT
• Donna Lambert, OTR/L
• Kenneth Lavin
• Madison Paige Leonard
• Lincare Inc
• Gina Lipari
• Kimberly Lisko, LSW
• Robert Lofton
• Jeffrey C Logan, DDS

• Psychologist in Poland, OH
• Providers in Poland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.