Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elaine Susan Revis, PHD

Individual provider Clinical Psychologist · NPI 1033124912

Dr. Elaine Susan Revis, PHD is a Clinical Psychologist in Beachwood, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

23811 Chagrin Blvd Ste 310
Beachwood, OH 44122-5525
Phone: (216) 464-1277
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 6207 (OH)

Record details

NPI number1033124912
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJuly 30, 2006
Last updated in NPPESJuly 8, 2007

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