Active NPI
Jane Alice Domb, MD
- Psychiatry Physician
- Lyndhurst, OH
National Provider Identifier
1982616629
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 59035
- Practice address
- 5001 Mayfield Rd Ste 114
Lyndhurst, OH 44124-2608 - Phone
- (216) 327-0294
- Fax
- (216) 304-2379
- NPI assigned
- Aug 12, 2006
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 59035 | OH | Primary |
Addresses
Primary practice location
5001 Mayfield Rd Ste 114
Lyndhurst, OH 44124-2608
Mailing address
5001 Mayfield Rd Ste 114
Lyndhurst, OH 44124-2608
Phone (216) 327-0294
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59035 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychological & Behavioral Consultants, LLC | Psychiatry | Current | Accepting new patients |
Locations
34900 Chardon Rd
Ste 200
Willoughby Hills, OH 44094
Phone (440) 951-5600
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.
-
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745280000000",
"number": "1982616629",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5001 MAYFIELD RD STE 114",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242608",
"telephone_number": "216-327-0294",
"fax_number": "216-304-2379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5001 MAYFIELD RD STE 114",
"city": "LYNDHURST",
"state": "OH",
"postal_code": "441242608",
"telephone_number": "216-327-0294",
"fax_number": "216-304-2379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMB",
"first_name": "JANE",
"middle_name": "ALICE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-12",
"last_updated": "2025-04-22",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "59035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.