NPIMap

Organization Active NPI

Beech Brook

  • Adolescent and Children Mental Health Clinic/Center
  • Garfield Heights, OH
National Provider Identifier
1093816209
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
208 Issued in OH
Legal business name
BEECH BROOK
Practice address
13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979
Phone
(216) 831-2255
Fax
(216) 831-0436
NPI assigned
Sep 26, 2006
Last updated
Jul 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Mr. Thomas Royer, MPA
Title
Chief Executive Officer
Phone
(216) 831-2255

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 208 OH Primary
Community/Behavioral Health Agency 251S00000X 12773 OH

Addresses

Primary practice location

13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979

Mailing address

13201 Granger Rd Ste 8
Garfield Heights, OH 44125-1979
Phone (216) 831-2255

Other practice location 1

6001 Woodland Ave
Cleveland, OH 44104-2762
Phone (216) 831-2255

Other identifiers 1

IdentifierTypeStateIssuer
2871101MedicaidOH

National Provider Directory

National Provider Directory

Locations

13201 Granger Rd
Ste 8
Garfield Hts, OH 44125
Phone (216) 831-2555

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1093816209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255",
            "fax_number": "216-831-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13201 GRANGER RD STE 8",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441251979",
            "telephone_number": "216-831-2255",
            "fax_number": "216-831-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6001 Woodland Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441042762",
            "country_code": "US",
            "telephone_number": "216-831-2255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEECH BROOK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "ROYER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "216-831-2255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "208",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "12773",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2871101",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.