DR. PAMELA M. NILSSON (PH.D.) – Psychologist, NPI 1396058327

DR. PAMELA M. NILSSON (PH.D.) is a healthcare provider. based in Beachwood, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. 6455 (OH). The NPI Number for DR. PAMELA M. NILSSON (PH.D.) is 1396058327

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. PAMELA M. NILSSON (PH.D.)
NPI
1396058327
Phone
(216) 789-3878
Address
23811 CHAGRIN BLVD STE 248
Enumeration Date
19 July 2010
Last Update Date
20 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2005 (21 years ago)
PAC ID
4183844327
Professional Enrollment ID
I20141009002245
Address ID
OH441225560Be23811BLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:15State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for DR. PAMELA M. NILSSON (PH.D.)

  • 23811 CHAGRIN BLVD STE 248

    BEACHWOOD, OH 441225560

    Phone: (216) 789-3878

    Fax: (216) 920-6288

    Type: Location

  • 12429 CEDAR RD, STE 2

    CLEVELAND HEIGHTS, OH 441063172

    Phone: (216) 299-6843

    Fax: (216) 373-3459

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2014-10-09

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
I20141009002245IClinical 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 44122)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What number should I use to identify DR. PAMELA M. NILSSON (PH.D.) for billing?
Administrative and clinical systems typically use NPI 1396058327 for DR. PAMELA M. NILSSON (PH.D.).
Quick check: is DR. PAMELA M. NILSSON (PH.D.) active?
Public NPPES data shows DR. PAMELA M. NILSSON (PH.D.) with an active NPI status right now.
What services align with DR. PAMELA M. NILSSON (PH.D.)'s listing?
DR. PAMELA M. NILSSON (PH.D.)'s public classification highlights Psychologist. Clinical services aligned with this taxonomy classification.
Is DR. PAMELA M. NILSSON (PH.D.) tied to Beachwood, Ohio?
If you are local to Beachwood, Ohio, DR. PAMELA M. NILSSON (PH.D.) may be relevant to your search.
Why is information missing for DR. PAMELA M. NILSSON (PH.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

Similar Providers

24100, Chagrin Boulevard, Beachwood, Cuyahoga County, Ohio, 44122, United States
NPI: 1265420566
24100 CHAGRIN BLVD STE 140
NPI: 1306835269
Chagrin Boulevard, Beachwood, Cuyahoga County, Ohio, 44124, United States
NPI: 1154305092
Heather Hill Rehab Hospital, 12340, Bass Lake Road, Chardon, Munson Township, Geauga County, Ohio, 44024, United States
NPI: 1467437012
19910, Malvern Road, Shaker Heights, Cuyahoga County, Ohio, 44122, United States
NPI: 1376518985
24400, Highpoint Road, Beachwood, Cuyahoga County, Ohio, 44122, United States
NPI: 1073589495
1395, Oakridge Drive, Inglewood Historic District, Cleveland Heights, Cuyahoga County, Ohio, 44121, United States
NPI: 1699744698
24400, Highpoint Road, Beachwood, Cuyahoga County, Ohio, 44122, United States
NPI: 1437110822
Joseph Law Group, 3690, Orange Place, Beachwood, Cuyahoga County, Ohio, 44122, United States
NPI: 1467413187