NPIMap

Organization Active NPI

Cleveland State University Health and Wellness Services

  • Student Health Clinic/Center
  • Cleveland, OH
National Provider Identifier
1023090974
Registry record updated Aug 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES
Practice address
2121 Euclid Ave
Un 263
Cleveland, OH 44115-2214
Phone
(216) 687-3649
Fax
(216) 687-9319
NPI assigned
Nov 16, 2005
Last updated
Aug 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2018

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

Authorized official

Name
Eileen Guttman, CNPNPI 1710960174
Title
Supervisor
Phone
(216) 687-3649

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X Primary

Addresses

Primary practice location

2121 Euclid Ave
Un 263
Cleveland, OH 44115-2214

Mailing address

2121 Euclid Ave
Un 263
Cleveland, OH 44115-2214
Phone (216) 687-3649

National Provider Directory

National Provider Directory
Tax ID family
Cleveland State University2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2121 Euclid Ave
#263
Cleveland, OH 44115
Phone (216) 687-3649

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1023090974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE",
            "address_2": "UN 263",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3649",
            "fax_number": "216-687-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EUCLID AVE",
            "address_2": "UN 263",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152214",
            "telephone_number": "216-687-3649",
            "fax_number": "216-687-9319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND STATE UNIVERSITY HEALTH AND WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "GUTTMAN",
        "authorized_official_first_name": "EILEEN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "216-687-3649",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.