Active NPI
Citizens Academy Southeast
- Local Education Agency (LEA)
- Cleveland, OH
National Provider Identifier
1073062337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 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
National Provider Directory
National Provider DirectoryLocations
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.