DR. ELAINE SUSAN REVIS PH.D.
NPI 1033124912
Psychologist - Clinical in Beachwood, OH

Active since July 30, 2006PECOS Enrolled
23811 CHAGRIN BLVD STE 310, BEACHWOOD, OH 44122(216) 464-1277 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elaine Susan Revis Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ELAINE SUSAN REVIS PH.D. (NPI 1033124912) is an individual clinical provider in Beachwood, Ohio, licensed in Ohio (6207) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1033124912
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELAINE SUSAN REVISCredential: PH.D.
Location Address23811 CHAGRIN BLVD STE 310Beachwood, OH 44122-5525
Mailing Address23811 Chagrin Blvd Ste 310Beachwood, OH 44122-5525 · (216) 464-1277
Sole ProprietorYes
Enumeration DateJuly 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1033124912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in OH · 6207
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
23811 CHAGRIN BLVD STE 310, Beachwood, OH 44122

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Elaine Susan Revis Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$166.65 typical visit price
range $54.34 – $166.65
Typical copayment $41.66 (range $13.58 – $41.66)
Most-billed visit code 99205
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
23811 CHAGRIN BLVD STE 310
CLEVELAND, OH 44122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elaine Revis's NPI number?

The NPI number for Elaine Revis is 1033124912. It was assigned to this individual provider in the NPPES registry on July 30, 2006.

Where is Elaine Revis located?

Elaine Revis practices at 23811 Chagrin Blvd Ste 310, Beachwood, OH 44122. The listed phone number is (216) 464-1277.

What is Elaine Revis's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Elaine Revis enrolled in Medicare?

Yes. Elaine Revis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elaine Revis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.