Individual provider Active NPI

Tai Chiappa, PSYD

  • Clinical Psychologist
  • Parma, OH
National Provider Identifier
1942433909
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
P.08188 Issued in OH
Practice address
5851 Pearl Rd Ste 305
Parma, OH 44130-2112
Phone
(440) 845-9011
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 10108 MA
Clinical Psychologist 103TC0700X P.08188 OH Primary

Addresses

Primary practice location

5851 Pearl Rd Ste 305
Parma, OH 44130-2112

Mailing address

5851 Pearl Rd Ste 305
Parma, OH 44130-2112
Phone (440) 845-9011

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
I20220120001748 OH Practitioner - Clinical Psychologist 8628397866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizons Counseling Services, Inc.Group PAC ID 0244271971, 7 clinicians

Practice addresses (Care Compare)

5851 Pearl Rd
Suite 305
Cleveland, OH 44130-2112
Phone (440) 845-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P.08188OHMDClinical Psychologist
10108MAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizons Counseling Services, Inc. Clinical CurrentSince Jan 11, 2022 Accepting new patients
Justice Resource Institute, Inc. PastSince Oct 1, 2011 Accepting new patients
Child and Family Psychological Services, PLLC Clinical PastSince Sep 19, 2018 Accepting new patients

Locations

5851 Pearl Rd
Ste 305
Parma Heights, OH 44130
Phone (440) 845-9011

Organizations & group practices 3

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": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1942433909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD STE 305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441302112",
            "telephone_number": "440-845-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5851 PEARL RD STE 305",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441302112",
            "telephone_number": "440-845-9011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIAPPA",
        "first_name": "TAI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MA",
            "license": "10108",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "P.08188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

Verify at the official NPI Registry.