Organization Active NPI

Citizens Academy Southeast

  • Local Education Agency (LEA)
  • Cleveland, OH
National Provider Identifier
1073062337
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITIZENS ACADEMY SOUTHEAST
Doing business as
Citizens Academy Southeast
Practice address
15700 Lotus Drive
Cleveland, OH 44128
Phone
(216) 456-2086
Fax
(216) 391-4770
NPI assigned
Sep 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Celeste Farmer
Title
Treasurer
Phone
(216) 391-4770

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

15700 Lotus Drive
Cleveland, OH 44128

Mailing address

15700 Lotus Drive
Cleveland, OH 44128
Phone (216) 456-2086

Other names 1

  • Citizens Academy Southeast Doing business as

National Provider Directory

National Provider Directory

Locations

15700 Lotus Dr
Cleveland, OH 44128
Phone (216) 586-3887

3615 Superior Ave
Ste 4403A
Cleveland, OH 44114

17900 Harvard Ave
Cleveland, OH 44128

NPI Registry JSON

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

{
    "created_epoch": "1475020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1073062337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15700 LOTUS DRIVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15700 LOTUS DRIVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44128",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS ACADEMY SOUTHEAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-28",
        "last_updated": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "FARMER",
        "authorized_official_first_name": "CELESTE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "216-391-4770"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Citizens Academy Southeast",
            "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 Mar 13, 2024; 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.