LYNN R. DIMARZIO (PHD) – Psychologist, NPI 1417961459

LYNN R. DIMARZIO (PHD) is a healthcare provider. based in Poland, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4226 (OH). The NPI Number for LYNN R. DIMARZIO (PHD) is 1417961459

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
LYNN R. DIMARZIO (PHD)
NPI
1417961459
Phone
(330) 726-2965
Address
831 SOUTHWESTERN RUN STE 2
Enumeration Date
27 July 2006
Last Update Date
19 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3307262965
Graduation Year
1987 (39 years ago)
PAC ID
7517961907
Group Practice PAC ID
6305992389
Professional Enrollment ID
I20060825000270
Address ID
OH445143694YO831XXRUNX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,139 CLINICAL PSYCHOLOGIST in OH

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Provider Addresses for LYNN R. DIMARZIO (PHD)

  • 831 SOUTHWESTERN RUN STE 2

    POLAND, OH 445143694

    Phone: (330) 726-2965

    Fax: (330) 726-0449

    Type: Mailing

  • South Avenue, Boardman, Mahoning County, Ohio, 44514, United States

    SUITE 1

    BOARDMAN, OH 44512

    Phone: (330) 726-2965

    Fax: (330) 726-0449

    Type: Mailing

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: 2006-08-25

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
I20060825000270IClinical 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 44514)

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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: 6305992389View full group profile
NameSpecialtyState
Clinical PsychologistOH
-OH

Reviews

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Frequently asked questions

Can I use this page to confirm LYNN R. DIMARZIO (PHD)'s NPI?
Yes. LYNN R. DIMARZIO (PHD) is listed with NPI 1417961459 in the public NPI dataset.
Does the file indicate LYNN R. DIMARZIO (PHD) is practicing under active NPI?
Directory data currently reports LYNN R. DIMARZIO (PHD) as active.
What is LYNN R. DIMARZIO (PHD)'s specialty?
The listing groups LYNN R. DIMARZIO (PHD) with Psychologist. Clinical services aligned with this taxonomy classification.
What address line appears for LYNN R. DIMARZIO (PHD)?
LYNN R. DIMARZIO (PHD)'s geographic hint is Poland, Ohio in our summary view.
Is the information about LYNN R. DIMARZIO (PHD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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