SILVER LAKE PSYCHIATRY, LLC – Psychiatry Physician, NPI 1295304723

SILVER LAKE PSYCHIATRY, LLC is a healthcare provider. based in Stow, Ohio. specializing in Psychiatry Physician. The NPI Number for SILVER LAKE PSYCHIATRY, LLC is 1295304723

Main info

Organization
Name
SILVER LAKE PSYCHIATRY, LLC
NPI
1295304723
Phone
(330) 858-1173
Address
4466 DARROW RD STE 14
Authorized Official
DR. MARNIE ALEXANDRA NEILL DIRECTOR OF CLINICAL SERVICES MD
Enumeration Date
19 June 2021
Last Update Date
19 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:4State licenses:0Digital endpointsOther names

Provider Addresses for SILVER LAKE PSYCHIATRY, LLC

  • 4466 DARROW RD STE 14

    STOW, OH 442241891

    Phone: (330) 858-1173

    Fax: (330) 967-0151

    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: 2024-05-10

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
O20240510003027OClinic/Group PracticeOHTBD

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 44224)

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Reviews

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Frequently asked questions

What unique ID ties claims to SILVER LAKE PSYCHIATRY, LLC?
NPI 1295304723 is assigned to SILVER LAKE PSYCHIATRY, LLC under the national enumeration system.
Is SILVER LAKE PSYCHIATRY, LLC active in the national directory?
SILVER LAKE PSYCHIATRY, LLC's public NPI profile is in an active state.
What field does SILVER LAKE PSYCHIATRY, LLC work in?
You can think of SILVER LAKE PSYCHIATRY, LLC as practicing within Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for SILVER LAKE PSYCHIATRY, LLC?
We surface Stow, Ohio for SILVER LAKE PSYCHIATRY, LLC based on available NPPES addresses.
What if Stow, Ohio seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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