NPIMap

Organization Active NPI

Ohio Bureau of Drug Abuse

Doing business as cleveland treatment center

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1073058137
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10085-M Issued in OH
Legal business name
OHIO BUREAU OF DRUG ABUSE
Doing business as
cleveland treatment center
Practice address
1127 Carnegie Ave
Cleveland, OH 44115-2805
Phone
(216) 861-4246
Fax
(216) 861-1156
NPI assigned
Dec 28, 2016
Last updated
Dec 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Authorized official

Name
Susan E Templar
Title
Asst Dir/Dir HR
Phone
(216) 861-4246

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10085-M OH Primary

Addresses

Primary practice location

1127 Carnegie Ave
Cleveland, OH 44115-2805

Mailing address

1127 Carnegie Ave
Cleveland, OH 44115-2805
Phone (216) 861-4246

Other identifiers 1

IdentifierTypeStateIssuer
1619934676MedicaidOH

Other names 1

  • cleveland treatment center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1482883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482883200000",
    "number": "1073058137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152805",
            "telephone_number": "216-861-4246",
            "fax_number": "216-861-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 CARNEGIE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441152805",
            "telephone_number": "216-861-4246",
            "fax_number": "216-861-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO BUREAU OF DRUG ABUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-28",
        "last_updated": "2016-12-28",
        "status": "A",
        "authorized_official_last_name": "TEMPLAR",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ASST DIR/DIR HR",
        "authorized_official_telephone_number": "216-861-4246"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "10085-M",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1619934676",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "cleveland treatment center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 28, 2016; 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.