Individual provider Active NPI

Jeffrey Michael Turell, M.D.

  • Psychiatry Physician
  • Shaker Heights, OH
National Provider Identifier
1184871063
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.097289 Issued in OH
Practice address
3435 Lee Rd
Shaker Heights, OH 44120
Phone
(216) 752-9090
Fax
(216) 752-9080
NPI assigned
Aug 22, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 35.097289 OH
Family Medicine Physician 207Q00000X 259708 NY
Psychiatry Physician 2084P0800X 35.097289 OH Primary

Addresses

Primary practice location

3435 Lee Rd
Shaker Heights, OH 44120

Mailing address

3435 Lee Rd
Shaker Heights, OH 44120
Phone (216) 752-9090

Other identifiers 1

IdentifierTypeStateIssuer
0080267MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120314000722 OH Practitioner - Psychiatry 1951560754 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3435 Lee Rd
Shaker Heights, OH 44120-3649
Phone (216) 752-9090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
259708NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Mental Health and Wellness LLC Acupuncturist CurrentSince Jan 4, 2018 Accepting new patients
Laurelwood Associates Inc CurrentSince Sep 1, 2020 Accepting new patients
B. Sharif MD, Inc Psychiatry PastSince Sep 3, 2012 Accepting new patients

Locations

3435 Lee Rd
Shaker Heights, OH 44120
Phone (216) 752-9090

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

Interoperability endpoints

  • Direct secure messaging: jeffery.turell.1@23610.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1184871063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 LEE RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-752-9090",
            "fax_number": "216-752-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TURELL",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-22",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OH",
            "license": "35.097289",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "259708",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.097289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0080267",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shaker Heights, OH

Sources for this page

Verify at the official NPI Registry.