Organization Active NPI

Clinicians of the Buckeye

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1215552559
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CLINICIANS OF THE BUCKEYE
Practice address
600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone
(919) 672-5005
NPI assigned
Jun 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Authorized official

Name
Dashun BanksNPI 1972821916
Title
Ceo
Phone
(919) 672-5005

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654

Mailing address

600 Superior Ave E Ste 1300
Cleveland, OH 44114-2654
Phone (919) 672-5005

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1591920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591920000000",
    "number": "1215552559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVE E STE 1300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142654",
            "telephone_number": "919-672-5005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SUPERIOR AVE E STE 1300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142654",
            "telephone_number": "919-672-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICIANS OF THE BUCKEYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-12",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A",
        "authorized_official_last_name": "BANKS",
        "authorized_official_first_name": "DASHUN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-672-5005"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 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.