Individual provider Active NPI

Jane Alice Domb, MD

  • Psychiatry Physician
  • Lyndhurst, OH
National Provider Identifier
1982616629
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
59035 Issued in OH
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

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
59035OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince Jan 1, 2013 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.

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": []
}

Other providers in Lyndhurst, OH

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.

Verify at the official NPI Registry.