Cleveland Behavioral Health Solutions LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLEVELAND BEHAVIORAL HEALTH SOLUTIONS LLC

Practice address

30628 Detroit Rd Ste 125
Westlake, OH 44145-5844

Phone

(440) 821-0051

NPI assigned

Jun 26, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Matt Stanley, PHD

Title

Director

Phone

(440) 821-0051

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1013534957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30628 DETROIT RD STE 125",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455844",
            "telephone_number": "440-821-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30628 DETROIT RD STE 125",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455844",
            "telephone_number": "440-821-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND BEHAVIORAL HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-26",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-821-0051",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Westlake, OH
• Providers in Westlake, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.