Individual provider Active NPI

Stefani Nike Parrisbalogun, M.D.

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1083873673
Registry record updated May 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
55654 Issued in TN
Practice address
10524 Euclid Ave
Cleveland, OH 44106
Phone
(216) 844-2400
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35091174 OH
Psychiatry Physician 2084P0800X 35091174 OH
Psychiatry Physician 2084P0800X 4301106892 MI
Psychiatry Physician 2084P0800X 55654 TN Primary

Addresses

Primary practice location

10524 Euclid Ave
Cleveland, OH 44106

Mailing address

121 Luna LN
Hendersonville, TN 37075-4422

Other identifiers 2

IdentifierTypeStateIssuer
2929308MedicaidOH
P00929250OtherOHMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081231000000 OH Practitioner - PsychiatryPractitioner - Internal Medicine 2567524408 Reassigns benefits to 2 organizations
I20171113002663 TN Practitioner - Psychiatry 2567524408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Internal Medicine
Education
Wayne State University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35091174OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee CurrentSince Oct 29, 2017 Accepting new patients
Medoptions of Ohio LLC Psychiatry CurrentSince Dec 9, 2016 Accepting new patients
State of Tennessee Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince Nov 1, 2024 Accepting new patients
State of Tennessee State F&a Payroll CurrentSince Oct 29, 2017 Accepting new patients
Statland Medical Group LLC Internal Medicine PastSince May 25, 2019 Accepting new patients

Locations

10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881

11100 Euclid Ave
Cleveland Heights, OH 44106

1160 Dublin Rd
Ste 400
Columbus, OH 43215
Phone (502) 439-2617

29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046

221 Stewarts Ferry Pike
Nashville, TN 37214
Phone (615) 902-7400

500 Deaderick St
Bldg 6TH
Nashville, TN 37242

Interoperability endpoints

  • Direct secure messaging: stefani.parrisbalogun@hca3.eclinicaldirectplus.com
  • Direct secure messaging: sparrisbalogun611762@ehrdirect.uhhospitals.org

Organizations & group practices 6

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526601600000",
    "number": "1083873673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 LUNA LN",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370754422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10524 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44106",
            "telephone_number": "216-844-2400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRISBALOGUN",
        "first_name": "STEFANI",
        "middle_name": "NIKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2018-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35091174",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35091174",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "4301106892",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "55654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2929308",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00929250",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.