DR. COLBY SANDOVAL SRSIC PH.D.
NPI 1487797106
Psychologist - Counseling in Worthington, OH

Active since February 14, 2007Opted out of Medicare · through Apr 12, 2028
633 HIGH ST, WORTHINGTON, OH 43085(614) 440-3592(614) 880-0073 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Colby Sandoval Srsic Ph.d. NPPES

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

DR. COLBY SANDOVAL SRSIC PH.D. (NPI 1487797106) is an individual counseling provider in Worthington, Ohio, licensed in Ohio (5743) and active in the NPI registry since February 2007. She has opted out of Medicare through April 12, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1487797106
Entity TypeIndividualFemale
Primary Taxonomy103TC1900X
Provider Legal NameDR. COLBY SANDOVAL SRSICCredential: PH.D.
Location Address633 HIGH STWorthington, OH 43085-4143
Mailing Address633 High StWorthington, OH 43085-4143 · (614) 440-3592 · Fax (614) 880-0073
Fax(614) 880-0073
Sole ProprietorYes
Enumeration DateFebruary 14, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1487797106 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License Licensed in OH · 5743
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
633 HIGH ST, Worthington, OH 43085

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Colby Sandoval Srsic Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2016 through April 12, 2028.

Opt-Out Effective DateApril 12, 2016
Opt-Out In Effect ThroughApril 12, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 2

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

Marriage & Family Therapist
633 HIGH ST
WORTHINGTON, OH 43085
Counselor (Professional)
633 HIGH ST
WORTHINGTON, OH 43085

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 Colby Srsic's NPI number?

The NPI number for Colby Srsic is 1487797106. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Colby Srsic located?

Colby Srsic practices at 633 High St, Worthington, OH 43085. The listed phone number is (614) 440-3592.

What is Colby Srsic's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Colby Srsic enrolled in Medicare?

No. Colby Srsic has opted out of Medicare through April 12, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Colby Srsic 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.