PAMELA M. NILSSON, PH.D., LLC
NPI 1447557954
Clinic/Center - Adult Mental Health in Beachwood, OH
About Pamela M. Nilsson, Ph.d., Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PAMELA M. NILSSON, PH.D., LLC (NPI 1447557954) is a healthcare organization registered as an adult mental health in Beachwood, Ohio and active in the NPI registry since February 2011. The organization lists Pamela M. Nilsson, Clinical Psychologist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pamela M. Nilsson, Ph.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Pamela M. Nilsson, Ph.D., LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Pamela M. Nilsson, Ph.D., LLC's NPI number?
The NPI number for Pamela M. Nilsson, Ph.D., LLC is 1447557954. It was assigned to this organization in the NPPES registry on February 17, 2011.
Where is Pamela M. Nilsson, Ph.D., LLC located?
Pamela M. Nilsson, Ph.D., LLC is located at 23811 Chagrin Blvd Ste 248, Beachwood, OH 44122. The listed phone number is (216) 789-3878.
What is Pamela M. Nilsson, Ph.D., LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Pamela M. Nilsson, Ph.D., LLC enrolled in Medicare?
Yes. Pamela M. Nilsson, Ph.D., LLC is registered in the Medicare PECOS enrollment system.
When is Pamela M. Nilsson, Ph.D., LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Ohio, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Pamela M. Nilsson, Ph.D., LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Pamela M. Nilsson, Ph.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Pamela M. Nilsson, Ph.D., LLC was last updated on January 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Pamela M. Nilsson, Ph.d., Llc · NPI 1447557954
Adult Mental Health organization in Beachwood, Ohio. Organization record, active in the CMS NPPES registry since February 17, 2011.
## Identity
- **NPI:** 1447557954 (Entity type: Organization)
- **Enumerated:** February 17, 2011
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Pamela Nilsson, CLINICAL PSYCHOLOGIST
## Practice location
- **Address:** 23811 CHAGRIN BLVD STE 248, Beachwood, OH 44122-5560
- **Phone:** (216) 789-3878 · **Fax:** (216) 920-6288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, Ohio, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Clinical Psychologist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 20, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1447557954) · Data from the CMS NPPES public registry.