Organization Active NPI

Heal Grow and Thrive

  • Psychiatry Physician
  • Solon, OH
National Provider Identifier
1093972846
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
1631753 Issued in OH
Legal business name
HEAL GROW AND THRIVE
Practice address
6200 Som Center Rd
Suite D-20
Solon, OH 44139-2944
Phone
(440) 248-0136
Fax
(440) 248-0191
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Nan Nelson
Title
President
Phone
(440) 248-0136

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X 0007862 OH
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 1631753 OH Primary

Addresses

Primary practice location

6200 Som Center Rd
Suite D-20
Solon, OH 44139-2944

Mailing address

6200 Som Center Rd
Suite D-20
Solon, OH 44139-2944
Phone (440) 248-0136

Other identifiers 1

IdentifierTypeStateIssuer
0972890MedicaidOH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1093972846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-0136",
            "fax_number": "440-248-0191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SOM CENTER RD",
            "address_2": "SUITE D-20",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392944",
            "telephone_number": "440-248-0136",
            "fax_number": "440-248-0191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL GROW AND THRIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "NAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-248-0136",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "0007862",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "1631753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0972890",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.