Provider Demographics
NPI:1154501948
Name:ROBERT B. SYLVIES, PSY.D, INC.
Entity Type:Organization
Organization Name:ROBERT B. SYLVIES, PSY.D, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SYLVIES
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:330-386-7870
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:EAST LIVERPOOL
Mailing Address - State:OH
Mailing Address - Zip Code:43920-5151
Mailing Address - Country:US
Mailing Address - Phone:330-386-7870
Mailing Address - Fax:330-382-9075
Practice Address - Street 1:416 JACKSON ST
Practice Address - Street 2:
Practice Address - City:EAST LIVERPOOL
Practice Address - State:OH
Practice Address - Zip Code:43920-2955
Practice Address - Country:US
Practice Address - Phone:330-386-7870
Practice Address - Fax:330-382-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-08
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4795103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9282531Medicare PIN