Fun-to-the-Mental

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

FUN-TO-THE-MENTAL

Practice address

1008 E 152ND St Ste B
Cleveland, OH 44110-3300

Phone

(330) 418-8351

NPI assigned

Jul 10, 2024

Organization subpart

No

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

Authorized official

Name

Shaquela WilliamsNPI 1255173225

Title

President

Phone

(330) 418-8351

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shaquela C Williams

  • Community Health Worker
  • Cleveland, OH
  • NPI 1255173225
  NPD Authorized official

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720569600000",
    "number": "1124865712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "944 E 147TH ST APT 3",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 E 152ND ST STE B",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441103300",
            "telephone_number": "330-418-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUN-TO-THE-MENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHAQUELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-418-8351"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jazmine Fulton, QMHS
• Jennifer Nicole Fulton
• Scott A Fulton, MD
• Christine E. Fultz, CRNA
• Sarah Elizabeth Fultz, MPT
• Russell Funches, PT
• Fundamentals Adult Day Services, Inc.
• Fundamentals First Basketball Academy , LLC
• Christina Fundzak, CNP
• Monica T Fundzak, CNP

• Community Health Worker in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community Health Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.