DR. ELIZABETH BLAIR WYATT PHD
NPI 1285744276
Psychologist - Clinical in Mentor, OH

Active since August 30, 2006
8039 BROADMOOR RD, #15, MENTOR, OH 44060(440) 269-1500(440) 269-8545 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. Elizabeth Blair Wyatt Phd NPPES

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

DR. ELIZABETH BLAIR WYATT PHD (NPI 1285744276) is an individual clinical provider in Mentor, Ohio, licensed in Ohio (4508) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1285744276
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ELIZABETH BLAIR WYATTCredential: PHD
Location Address8039 BROADMOOR RD, #15Mentor, OH 44060
Mailing Address8039 Broadmoor Rd, #15Mentor, OH 44060 · (440) 269-1500 · Fax (440) 269-8545
Fax(440) 269-8545
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1285744276 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 · 4508
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.
8039 BROADMOOR RD, Mentor, OH 44060

Other Identifiers 2

Medicaid2065732OH
Medicare ID-Type UnspecifiedCP18391OH

Accepted Insurance

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)
8039 BROADMOOR RD, SUITE 15
MENTOR, OH 44060

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 Elizabeth Wyatt's NPI number?

The NPI number for Elizabeth Wyatt is 1285744276. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Elizabeth Wyatt located?

Elizabeth Wyatt practices at 8039 Broadmoor Rd #15, Mentor, OH 44060. The listed phone number is (440) 269-1500.

What is Elizabeth Wyatt's specialty?

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

What insurance does Elizabeth Wyatt accept?

Health plans from MedMutual list Elizabeth Wyatt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Elizabeth Wyatt 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.