Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215915160 Individual Practitioner Male Practitioner

Dr. David Alan Cislo , PhD

Psychologist - Clinical • Maumee, OH

Professional Overview & Biography Verified Profile Summary

Dr. David Cislo, PhD is a registered healthcare professional specializing in Psychologist - Clinical in Maumee, OH. Practice services are available at 2211 RIVER RD under active NPI credentials.

Frequently performed procedures and clinical services include psychotherapy, psychiatric diagnostic evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2211 River Rd

Maumee, OH 435373637

Telephone 4198977877
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist - Clinical in Maumee, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.5 Yrs
State Avg: 26.2 Yrs
Regional Practice Density
7 Specialists

Practicing in Maumee, OH (1691 Statewide)

Telehealth Adoption Rate
14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
26.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
70 11 $199.86 $146.78

Medical Specialties & State Licenses

CMS Verified: 2020-09-02
Psychologist - Clinical Primary Specialty

NUCC Taxonomy Code: 103TC0700X

State License OH 4222

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0956354 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Melissa Rudd , MA

Student in an Organized Health Care Education/Training Program

NPI 1083399018

Master of Arts

Jessica Kitchin , LICDC-CS, LPCC

Counselor - Professional

NPI 1144799370

LICDCCS, Licensed Professional Clinical Counselor

Dr. Christine Fair , LPC, PhD

Psychologist - Clinical

NPI 1194906958

Licensed Professional Counselor, Doctor of Philosophy (Ph.D.)

Mousumi Mallik , MA

Counselor - Professional

NPI 1326514308

Master of Arts

Nicole Horoszewski , QMHS 3

Case Manager/Care Coordinator

NPI 1366369258

QMHS3

Lisa Pietras , LPC

Counselor - Professional

NPI 1467924134

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 02, 2020

Registered at 2211 RIVER RD, MAUMEE, OH 435373637 (Tel: 4198977877)

📍
Updated Business Mailing Address September 02, 2020

Registered at 2211 RIVER RD, MAUMEE, OH 435373637 (Tel: 4198977877)

NPI Profile Active November 09, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location November 09, 2011

Registered at 2340 DETROIT AVE, SUITE C-1, MAUMEE, OH 435373766 (Tel: 4198977877)

📍
Updated Business Mailing Address November 09, 2011

Registered at 2340 DETROIT AVE, SUITE C-1, MAUMEE, OH 435373766 (Tel: 4198977877)

👤
Provider Name / Credentials Updated November 09, 2011

Recorded as DAVID CISLO, PH.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2011

Psychologist (License #4222 in OH)

🟢
Initial NPI Registration & Enumeration January 01, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215915160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 01, 2006
Last Update: September 02, 2020
Sole Proprietor: Yes

Mailing Address

2211 River Rd

Maumee, OH 435373637

Phone: 4198977877

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.