Active NPI
Stefani Nike Parrisbalogun, M.D.
- Psychiatry Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 55654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2929308 | Medicaid | OH | |
| P00929250 | Other | OH | MEDICARE RAILROAD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35091174 | OH | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Tennessee | Current | Accepting new patients | |
| Medoptions of Ohio LLC | Psychiatry | Current | Accepting new patients |
| State of Tennessee | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Current | Accepting new patients | |
| State of Tennessee State F&a Payroll | Current | Accepting new patients | |
| Statland Medical Group LLC | Internal Medicine | Past | 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
- stefani.parrisbalogun@hca3.eclinicaldirectplus.com
- 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.
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
-
- Psychiatry Physician
- Columbus, OH
- NPI 1629428974
-
dba Marion County Health Department
- Public Health or Welfare Agency
- Jasper, TN
- NPI 1487791315
-
dba Robertson County Health Department
- Public Health or Welfare Agency
- Springfield, TN
- NPI 1316090145
-
- Psychiatric Hospital
- Nashville, TN
- NPI 1194869297
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1902123573
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Uhcmc
- General Acute Care Hospital
- Cleveland, OH
- NPI 1043397292
-
dba University Hospitals Mentor Health Center
- Multi-Specialty Clinic/Center
- Mentor, OH
- NPI 1487770335
Hospital
-
dba University Hospitals Westlake Health Center
- Multi-Specialty Clinic/Center
- Westlake, OH
- NPI 1669598082
Hospital
-
dba UH Case Medical Center
- Clinic/Center
- Cleveland, OH
- NPI 1760673412
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.