RACHEL MARIE NIJAKOWSKI (PHD) – Psychologist, NPI 1003896572

RACHEL MARIE NIJAKOWSKI (PHD) is a healthcare provider. based in Sylvania, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4699 (OH). The NPI Number for RACHEL MARIE NIJAKOWSKI (PHD) is 1003896572

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL MARIE NIJAKOWSKI (PHD)
NPI
1003896572
Phone
(419) 882-4529
Address
6832 CONVENT BLVD
Enumeration Date
19 January 2006
Last Update Date
13 November 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198243662
Graduation Year
1990 (36 years ago)
PAC ID
0547244519
Group Practice PAC ID
4385628346
Professional Enrollment ID
I20040727001678
Address ID
OH435601980SY5335XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for RACHEL MARIE NIJAKOWSKI (PHD)

  • 6832, Convent Boulevard, Sylvania, Lucas County, Ohio, 43560, United States

    SYLVANIA, OH 43560

    Phone: (419) 882-4529

    Fax: (419) 885-7612

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-07-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040727001678IClinical PsychologistOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43560)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4385628346View full group profile
NameSpecialtyState
-OH
Mental Health CounselorAZ
Mental Health CounselorOH
Mental Health CounselorOH
Mental Health CounselorOH
Clinical Social WorkerOH
-OH

Reviews

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Frequently asked questions

Does RACHEL MARIE NIJAKOWSKI (PHD) have a public NPI I can cite?
Public records show RACHEL MARIE NIJAKOWSKI (PHD) under NPI 1003896572.
Quick check: is RACHEL MARIE NIJAKOWSKI (PHD) active?
Public NPPES data shows RACHEL MARIE NIJAKOWSKI (PHD) with an active NPI status right now.
What type of care does RACHEL MARIE NIJAKOWSKI (PHD) provide?
RACHEL MARIE NIJAKOWSKI (PHD)'s profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to RACHEL MARIE NIJAKOWSKI (PHD)?
RACHEL MARIE NIJAKOWSKI (PHD) is associated with Sylvania, Ohio in the same public data insurers reference.
Why is information missing for RACHEL MARIE NIJAKOWSKI (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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