Active NPI
Jessica Bliss Cusimano, PSYD
- Clinical Psychologist
- Shaker Heights, OH
National Provider Identifier
1922615699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- P.08699
- Practice address
- 19910 Malvern Rd Ste 220
Shaker Heights, OH 44122-2823 - Phone
- (216) 544-1321
- NPI assigned
- Sep 28, 2020
- Sex
- Female
- Sole proprietor
- No
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 | P.08699 | OH | Primary |
Addresses
Primary practice location
19910 Malvern Rd Ste 220
Shaker Heights, OH 44122-2823
Mailing address
68 Cumberland St Ste 102
Woonsocket, RI 02895-3323
Phone (401) 356-1940
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 |
|---|---|---|---|
| P.08699 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Evidence Based Treatment | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747785600000",
"number": "1922615699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "68 CUMBERLAND ST STE 102",
"city": "WOONSOCKET",
"state": "RI",
"postal_code": "028953323",
"telephone_number": "401-356-1940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19910 MALVERN RD STE 220",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441222823",
"telephone_number": "216-544-1321"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSIMANO",
"first_name": "JESSICA",
"middle_name": "BLISS",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-28",
"last_updated": "2025-05-21",
"certification_date": "2025-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "P.08699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.