STELLA MARIS, INC. (NPI# 1487927802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487927802 |
| Entity Type | Organization |
| Organization Name | STELLA MARIS, INC. |
| Other Organization Name | STELLA MARIS |
| Practice Address |
1302 Winslow Ave Cleveland OH 44113-2336 |
| Mailing Address |
1320 Washington Ave Cleveland OH 44113-2333 |
| Practice Telephone | 2167810550 |
| Practice Fax Number | 2167817501 |
| Mailing Telephone | 2167810550 |
| Mailing Fax Number | 2167817501 |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2017-05-16 |
| Authorized Official Name | DR. DEBORAH A. BRIDWELL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2167272058 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0679 | OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Stella Maris | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669494274 | Stella Maris, Inc. | Rehabilitation, Substance Use Disorder Unit | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2006-07-24 |
| 1174572168 | Stella Maris, Inc. | Clinic/Center | 1292 Winslow Ave, Cleveland, OH 44113-2334 | 2006-05-08 |
| 1750911376 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2020-01-23 |
| 1366708638 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2012-04-11 |
| 1497859938 | Stella Maris, Inc. | Custodial Care Facility | 2300 Dulaney Valley Rd, Lutherville, MD 21093-2739 | 2006-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | STELLA MARIS, INC. | 360 West 11th Street, New York, New York 10014 |
| Oregon Corporations, Companies and Business Names | STELLA MARIS, INC. | 2700 East 9th St Ste 300, Newberg, OR 97132 |
| Street Address |
1302 WINSLOW AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578115127 | Nedra Battle | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2019-07-14 |
| 1700347291 | Aimee Tomsik | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2019-03-27 |
| 1568939171 | Jean Norton | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-11-01 |
| 1588148456 | Ashley M Ashford | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-09-18 |
| 1376034264 | Willie Brown | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-05-25 |
| 1619468188 | Earl Mcdonald | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-05-21 |
| 1487144754 | Paige Formanek | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2018-05-13 |
| 1609381060 | Dorothy Hillaire | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2017-12-07 |
| 1407369606 | Yushan Shakir | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2017-11-09 |
| 1497268601 | Julie Hamar | Counselor | 1302 Winslow Ave, Cleveland, OH 44113-2336 | 2017-11-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1902139033 | Magnolia Clubhouse Inc | Clinic/Center | 11101 Magnolia Dr, Cleveland, OH 44106-1813 | 2009-09-08 |
| 1386189967 | Frontline Services | Clinic/Center | 1744 Payne Avenue, Cleveland, OH 44114 | 2017-01-05 |
| 1174066096 | Thrive Behavioral Health Center Inc | Clinic/Center | 600 Superior Ave E Ste 1300, Cleveland, OH 44114-2654 | 2016-11-25 |
| 1417373705 | The Centers for Families and Children | Clinic/Center | 4400 Euclid Ave, Cleveland, OH 44103-3734 | 2014-03-11 |
| 1366708638 | Stella Maris, Inc. | Clinic/Center | 1320 Washington Ave, Cleveland, OH 44113-2333 | 2012-04-11 |
| 1326228602 | Robert Stetson, Md, Pllc | Clinic/Center | 2650 Executive Park Nw, Suite #3, Cleveland, TN 37312-2746 | 2007-11-05 |
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| 1255997599 | Jana Bergfeld Lisw LLC | Clinic/Center | 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 | 2019-05-13 |
| 1861056921 | Mobile Physician Services Inc. | Clinic/Center | 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 | 2019-04-24 |
| 1295217347 | Luna Counseling, LLC | Clinic/Center | 30 Warder St Ste 165, Springfield, OH 45504-2500 | 2018-09-05 |
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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.