Windsor Hospital

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

Legal business name

WINDSOR HOSPITAL

Practice address

115 E Summit St
Chagrin Falls, OH 44022-2711

Phone

(330) 758-4515

Fax

(330) 758-5121

NPI assigned

May 23, 2006

Organization subpart

No

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

Authorized official

Name

Pat Hoffman

Title

Billing Supervisor

Phone

(330) 758-4515

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Hospital certification: CCN 364017

Legal name

WINDSOR HOSPITAL

Certification status

Terminated Voluntary: merger or closure, Sep 1, 2007

Provider type (POS)

Hospital – Psychiatric

Participating since

Jul 1, 1966

Last certification

Nov 8, 2006

Beds

71

Ownership / control type

Federal

Facility address

115 East Summit Avenue
Chagrin Falls, OH 44022

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert J Brauer, DO

  • General Practice Physician
  • Cleveland, OH
  • NPI 1063401412
  NPD (past)
• Melody C. Deogracias, M.D.

  • Psychiatry Physician
  • Cleveland, OH
  • NPI 1245326552
  NPD (past)
• Gary W Waltz, MD

  • Psychiatry Physician
  • Akron, OH
  • NPI 1720151814
  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073568994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 E SUMMIT ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222711",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E SUMMIT ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440222711",
            "telephone_number": "330-758-4515",
            "fax_number": "330-758-5121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOFFMAN",
        "authorized_official_first_name": "PAT",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "330-758-4515"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251703",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Wheeler, LCSW
• Gail Margaret White, M.D.
• Janine Wilkes
• Elizabeth Ann Wilson, LPC
• Roger W Wilson, D.C.
• James B Wolf, DMD
• Arcangela Wood, PSY.D.
• Woodford Dentistry LLC
• Bridget Woodford, DDS
• Brian Richard Wynne, MD

• Psychiatric Hospital Unit in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Psychiatric Hospital Unit in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.