NPIMap

Organization Active NPI

Glovan Pollak and Associates LLC

  • Community/Behavioral Health Agency
  • Mentor, OH
National Provider Identifier
1104398312
Registry record updated Dec 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GLOVAN POLLAK AND ASSOCIATES LLC
Practice address
8224 Mentor Ave Ste 208
Mentor, OH 44060-5743
Phone
(440) 392-2222
Fax
(440) 565-2349
NPI assigned
Dec 28, 2018
Organization subpart
Yes
Parent organization
GLOVAN POLLAK AND ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2018

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

Authorized official

Name
Ms. Katherine Long
Title
Credentialing
Phone
(440) 392-2222

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743

Mailing address

8224 Mentor Ave Ste 208
Mentor, OH 44060-5743
Phone (440) 392-2222

Other names 1

  • The Behavioral Wellness Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Glovan Pollak and Associates LLC2 organizations share this tax ID, including this one
Part of
Glovan Pollak and Associates LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1104398312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8224 MENTOR AVE STE 208",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605743",
            "telephone_number": "440-392-2222",
            "fax_number": "440-565-2349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOVAN POLLAK AND ASSOCIATES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLOVAN POLLAK AND ASSOCIATES LLC",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "440-392-2222",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Behavioral Wellness Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.