Chagrin Valley Psychiatric Associates Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34004091 Issued in OH

Legal business name

CHAGRIN VALLEY PSYCHIATRIC ASSOCIATES INC

Practice address

7500 Thatchum LN
Mentor, OH 44060-6814

Phone

(440) 227-3691

Fax

(863) 438-6126

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Todd Jacob Gates, D.O.

Title

President

Phone

(440) 227-3691

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1114197340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 THATCHUM LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606814",
            "telephone_number": "440-227-3691",
            "fax_number": "863-438-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 THATCHUM LN",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606814",
            "telephone_number": "440-227-3691",
            "fax_number": "863-438-6126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAGRIN VALLEY PSYCHIATRIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-227-3691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34004091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PIN",
            "identifier": "CH92497315",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Francesca Cerutti
• Lori Cervella, LPN
• Rebecca Cervenka, LPC, ATR
• Michelle M Chaffee, STNA/CNA
• Sharon L. Chaffee, MD
• Jude Chamberlain, PH.D.
• Wayne Chamberlain, CPSS, CDCA
• Taniyah Chambliss
• Carol Ka-Lap Chan, MD
• Charles M. Pap, D.D.S., Inc.

• Psychiatry Physician in Mentor, OH
• Providers in Mentor, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.