Organization Active NPI

Citie One Family Practice

  • Community/Behavioral Health Agency
  • North Randall, OH
National Provider Identifier
1164344560
Registry record updated Jul 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CITIE ONE FAMILY PRACTICE
Practice address
4767 Northfield Rd
North Randall, OH 44128-4509
Phone
(440) 263-6120
Fax
(216) 239-0683
NPI assigned
Jul 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2026

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

Authorized official

Name
Mr. Terrell Scott
Title
Corporate Compliance
Phone
(419) 297-2553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4767 Northfield Rd
North Randall, OH 44128-4509

Mailing address

4767 Northfield Rd
North Randall, OH 44128-4509
Phone (216) 232-6300

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2336492Citie One Family Practice4767 Northfield Rd, North Randall, OH 44128Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

4767 Northfield Rd
North Randall, OH 44128

NPI Registry JSON

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

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1164344560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4767 NORTHFIELD RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284509",
            "telephone_number": "216-232-6300",
            "fax_number": "216-239-0683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 NORTHFIELD RD",
            "city": "NORTH RANDALL",
            "state": "OH",
            "postal_code": "441284509",
            "telephone_number": "440-263-6120",
            "fax_number": "216-239-0683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIE ONE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "TERRELL",
        "authorized_official_title_or_position": "CORPORATE COMPLIANCE",
        "authorized_official_telephone_number": "419-297-2553",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Randall, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.