Active NPI
Maureen Baddour Moses, ATR-BC
- Art Therapist
- Cleveland, OH
National Provider Identifier
1093845174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- Practice address
- 12200 Fairhill Rd
Cleveland, OH 44120-1058 - Phone
- (216) 791-9303
- Fax
- (216) 791-5610
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Art Therapist | 221700000X | Primary |
Addresses
Primary practice location
12200 Fairhill Rd
Cleveland, OH 44120-1058
Mailing address
24178 Stonehedge Dr
Westlake, OH 44145-4865
Phone (440) 777-6847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1093845174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24178 STONEHEDGE DR",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441454865",
"telephone_number": "440-777-6847",
"fax_number": "216-791-5610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12200 FAIRHILL RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441201058",
"telephone_number": "216-791-9303",
"fax_number": "216-791-5610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOSES",
"first_name": "MAUREEN",
"middle_name": "BADDOUR",
"name_prefix": "Ms.",
"credential": "ATR-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.