ROBERT TAYLOR SEGRAVES (NPI# 1215963087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215963087 |
| Entity Type | Individual |
| Full Name | ROBERT TAYLOR SEGRAVES |
| Credential | MD, PH.D |
| Practice Address |
23230 Chagrin Blvd Suite 350 Beachwood OH 44122-5446 |
| Practice Telephone | 2168312900 |
| Mailing Telephone | 2168312900 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2011-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
35053947 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0681472 | 05 |
| Street Address |
23230 CHAGRIN BLVD SUITE 350 |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528379559 | Northcoast Health Care Management Services | Case Management | 23230 Chagrin Blvd, Beachwood, OH 44122-5446 | 2010-06-24 |
| 1639344161 | Carol Pearson Stocchi | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2008-04-25 |
| 1811108178 | Scott F Martin | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2007-05-25 |
| 1083824353 | Veda Valdez Cannon | Marriage & Family Therapist | 23230 Chagrin Blvd, Beachwood, OH 44122-5446 | 2007-05-23 |
| 1588879241 | Northcoast Healthcare Management Svcs. | Supports Brokerage | 23230 Chagrin Blvd, Suite 550, Beachwood, OH 44122-5446 | 2007-05-14 |
| 1790840593 | Ogenix Corporation | Durable Medical Equipment & Medical Supplies | 23230 Chagrin Blvd, Bldg. 3, Suite 950, Beachwood, OH 44122-5446 | 2006-12-22 |
| 1578654596 | Marvin Wasman | Psychologist | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-09-27 |
| 1396836243 | Eric Corty | Psychologist | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-09-27 |
| 1366549487 | Levine, Risen & Associates, Inc. | Social Worker | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-09-20 |
| 1528166139 | Samia Hasan | Psychiatry & Neurology | 23230 Chagrin Blvd, Suite 350, Beachwood, OH 44122-5446 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679631949 | Deborah Jean Gould | Psychiatry & Neurology | 23210 Chagrin Blvd, Suite 400, Beachwood, OH 44122-5429 | 2006-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245614858 | Nh Zinaida Lebedeva Md LLC | Psychiatry & Neurology | 8020 Birchwood Dr, Chesterland, OH 44026-3056 | 2015-07-13 |
| 1700134095 | Sri Rayani LLC | Psychiatry & Neurology | 462 Pineview Dr, Gallipolis, OH 45631-9038 | 2012-08-17 |
| 1962565408 | James Shackson Md | Psychiatry & Neurology | 9525 Kenwood Rd, Suite 16-382, Cincinnati, OH 45242-6176 | 2006-12-18 |
| 1053411447 | Nathaniel Travis Marvel, Jr. | Psychiatry & Neurology | 143 Lakeview Ct., Loveland, OH 45140 | 2006-09-25 |
| 1841201068 | Lois Sue Freedman | Psychiatry & Neurology | 10701 East Boulevard, Louis Stokes Cleveland Vamc, Cleveland, OH 44106 | 2006-08-11 |
| 1306820493 | Marguerite Maryanna Katchen | Psychiatry & Neurology | 4903 Vine St, Cincinnati, OH 45217-1252 | 2005-12-01 |
| 1598763856 | Babu V Gupta | Psychiatry & Neurology | 3260 Westbourne Dr, Cincinnati, OH 45248-5107 | 2005-07-11 |
| 1558908400 | Lydia Lee Potoma | Psychiatry & Neurology | 12300 Mccracken Rd, Garfield Heights, OH 44125-2914 | 2019-12-10 |
| 1316582778 | Geropsych Psychiatry, Ltd | Psychiatry & Neurology | 151 Orchardview Rd Ste 2b, Seven Hills, OH 44131-5836 | 2019-11-08 |
| 1497105563 | Krupa Pathak | Psychiatry & Neurology | 2500 Metrohealth Dr, Cleveland, OH 44109 | 2016-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.