Larvell Fellows

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

17325 Euclid Ave Ste 4103
Cleveland, OH 44112-1262

Phone

(216) 232-5455

NPI assigned

Nov 8, 2017

Last updated

Jan 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peter James Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Bedford, OH
  • NPI 1184255549

  Case Management

  NPD (past)

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1073026431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 4103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121262",
            "telephone_number": "216-232-5455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 4103",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121262",
            "telephone_number": "216-232-5455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12395 McCracken Rd Ste Up",
            "address_purpose": "LOCATION",
            "city": "Garfield Hts",
            "state": "OH",
            "postal_code": "441252967",
            "country_code": "US",
            "telephone_number": "216-587-6727 x3231",
            "fax_number": "216-587-8347",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELLOWS",
        "first_name": "LARVELL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hector Manuel Felix, HS
• Shannon N Feliz
• Michael Fellenbaum, MD
• Courtney Marie Fellows
• Kristen Fellows
• Samantha Fellows
• Joseph Andrew Felo, DO
• Deborah Fenderson
• Larry Fenderson
• Natalia Fendrikova Mahlay, M.D.

• Case Management Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.