NPIMap

Organization Active NPI

Uprise Behavioral Health LLC

  • Community/Behavioral Health Agency
  • Cleveland HTS, OH
National Provider Identifier
1043893662
Registry record updated May 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
UPRISE BEHAVIORAL HEALTH LLC
Practice address
5 Severance Cir Ste 201
Cleveland HTS, OH 44118-1567
Phone
(216) 659-5406
NPI assigned
May 2, 2021
Last updated
May 2, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2021

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

Authorized official

Name
Mickie Chaney, LISW-S, LICDCNPI 1922508159
Title
Executive Director
Phone
(216) 659-5406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5 Severance Cir Ste 201
Cleveland HTS, OH 44118-1567

Mailing address

13701 5TH Ave
East Cleveland, OH 44112-3109
Phone (216) 659-5406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220310000641 OH Part B Supplier - Clinic/Group Practice 9638564693 Receives reassigned benefits from 1 practitioner
Practice locations: Cleveland HTS, OH

National Provider Directory

National Provider Directory

Locations

5 Severance Cir
Ste 201
Cleveland Heights, OH 44118
Phone (216) 496-5772

Practitioners & affiliated clinicians

Practitioners 10

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": "1619913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619913600000",
    "number": "1043893662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13701 5TH AVE",
            "city": "EAST CLEVELAND",
            "state": "OH",
            "postal_code": "441123109",
            "telephone_number": "216-659-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SEVERANCE CIR STE 201",
            "city": "CLEVELAND HTS",
            "state": "OH",
            "postal_code": "441181567",
            "telephone_number": "216-659-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPRISE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-02",
        "last_updated": "2021-05-02",
        "certification_date": "2021-05-02",
        "status": "A",
        "authorized_official_last_name": "CHANEY",
        "authorized_official_first_name": "MICKIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-659-5406",
        "authorized_official_credential": "LISW-S, LICDC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2021; 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.