Westlake America Clinic LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

WESTLAKE AMERICA CLINIC LLC

Practice address

25125 Detroit Rd Ste 100
Westlake, OH 44145-2500

Phone

(216) 293-0282

Fax

(440) 455-9757

NPI assigned

Oct 24, 2019

Organization subpart

No

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

Authorized official

Name

Abdelrahman Abdelaziz, M.D.NPI 1871960930

Title

Owner

Phone

(216) 293-0282

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdelrahman Abdelaziz, MD

  • Psychiatry Physician
  • Westlake, OH
  • NPI 1871960930
  Medicare reassignment Care Compare group NPD Authorized official
• Colleen K. Russell, C.N.P.

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake, OH
  • NPI 1053192104
  Medicare reassignment Care Compare group NPD
• Rachel V. Saleh, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1629795158
  Medicare reassignment NPD

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

{
    "created_epoch": "1571875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712880000000",
    "number": "1033752852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25125 DETROIT RD STE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452500",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25125 DETROIT RD STE 100",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441452500",
            "telephone_number": "216-293-0282",
            "fax_number": "440-455-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTLAKE AMERICA CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-24",
        "last_updated": "2024-04-12",
        "certification_date": "2024-04-12",
        "status": "A",
        "authorized_official_last_name": "ABDELAZIZ",
        "authorized_official_first_name": "ABDELRAHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-293-0282",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Westbrook Place Rehabilitation and Nursing Center LLC
• Westchester Health Care, Inc. (Huntington Woods Care & Rehabilitation Center)
• Westlake Academy
• Westlake Acres Nursing & Rehabilitation Center, LLC
• Westlake Alf Operations LLC (Westlake Assisted Living)
• Westlake City School District
• Westlake Dental Associates
• Westlake Endodontics LLC
• Westlake Eye Center Inc
• Westlake Foot and Ankle Clinic, Inc.

• Psychiatry Physician in Westlake, OH
• Providers in Westlake, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.