CATHOLIC CHARITIES SERVICES CORPORATION (NPI# 1891741740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891741740 |
| Entity Type | Organization |
| Organization Name | CATHOLIC CHARITIES SERVICES CORPORATION |
| Other Organization Name | CATHOLIC CAHRITIES SERVICES OF GEAUGA COUNTIES |
| Practice Address |
10771 Mayfield Rd Chardon OH 44024-9323 |
| Practice Telephone | 4402853537 |
| Practice Fax Number | 4402854909 |
| Mailing Telephone | 4402853537 |
| Mailing Fax Number | 4402854909 |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. TOM WOLL (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4408435501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | OTHER SOURCE | 06854 | 01 |
| OH | MC-19-04 | 05 |
| Other Name | Type Code |
|---|---|
| Catholic Cahrities Services of Geauga Counties | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659328557 | Catholic Charities Services Corporation | Clinic/Center | 521 Beall Ave, Wooster, OH 44691-3589 | 2006-05-27 |
| 1982651907 | Catholic Charities Services Corporation | Clinic/Center | 628 Poplar St, Elyria, OH 44035-4065 | 2006-05-27 |
| 1568418424 | Catholic Charities Services Corporation | Clinic/Center | 8 N State St, Suite 455, Painesville, OH 44077-3955 | 2006-05-25 |
| 1538115308 | Catholic Charities Services Corporation | Case Management | 246 Northland Dr, Medina, OH 44256-1533 | 2006-05-25 |
| Street Address |
10771 MAYFIELD RD |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-9323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962644740 | Eve Louise Smith | Counselor | 10771 Mayfield Rd, Chardon, OH 44024-9323 | 2009-03-25 |
| 1326228693 | Catholic Charities Corporation | Community/Behavioral Health | 10771 Mayfield Rd, Chardon, OH 44024-9323 | 2007-11-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340511 | Alliance Therapeutic Practices, LLC | Clinic/Center | 822 Delta Ave Ste 1, Cincinnati, OH 45226-1256 | 2020-09-14 |
| 1922610898 | Alyssa Banks | Clinic/Center | 915 N Erie St, Toledo, OH 43604-1605 | 2020-08-20 |
| 1154931574 | Compassionate Connections for Children LLC | Clinic/Center | 7060 Copperglow Ct, Cincinnati, OH 45244-3649 | 2020-08-01 |
| 1568085876 | Laura Irene Davis | Clinic/Center | 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068-3448 | 2020-05-20 |
| 1407481021 | Counseling On Purpose, LLC | Clinic/Center | 1350 5th Ave Ste 310, Youngstown, OH 44504-1765 | 2020-03-04 |
| 1639710361 | Soaring On Success, LLC | Clinic/Center | 2146 N 13th St, Toledo, OH 43620-1909 | 2019-10-03 |
| 1366928863 | Fairmount Mental Wellness LLC | Clinic/Center | 2460 Fairmount Blvd Ste 317, Cleveland Heights, OH 44106-3164 | 2018-07-17 |
| 1891286548 | Robin's House | Clinic/Center | 326 Bierce Ave, Dayton, OH 45403-2657 | 2018-05-29 |
| 1558869206 | Pathways Behavioral Healthcare, Inc. | Clinic/Center | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2018-01-29 |
| 1508379314 | Trumbull County Children Services | Clinic/Center | 2282 Reeves Rd Ne, Warren, OH 44483-4300 | 2017-11-15 |
| 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.