Individual provider Active NPI

Olga Estrina, MD

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1215130463
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
089832 Issued in OH
Practice address
6120 Parkland Blvd Ste 210
Cleveland, OH 44124-6129
Phone
(216) 337-3985
Fax
(855) 511-6627
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 89832 OH
Psychiatry Physician 2084P0800X 089832 OH Primary

Addresses

Primary practice location

6120 Parkland Blvd Ste 210
Cleveland, OH 44124-6129

Mailing address

6120 Parkland Blvd Ste 210
Cleveland, OH 44124-6129
Phone (216) 337-3985

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
089832OHMDPsychiatry Physician
89832OHMDChild & Adolescent Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589241600000",
    "number": "1215130463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 PARKLAND BLVD STE 210",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441246129",
            "telephone_number": "216-337-3985",
            "fax_number": "855-511-6627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 PARKLAND BLVD STE 210",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441246129",
            "telephone_number": "216-337-3985",
            "fax_number": "855-511-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTRINA",
        "first_name": "OLGA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2020-05-12",
        "certification_date": "2020-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "89832",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "089832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.