Active NPI
Clinicians of the Buckeye
- Community/Behavioral Health Agency
- Cleveland, OH
National Provider Identifier
1215552559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dashun Banks
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Counselor
- Concord, NC
- NPI 1972821916
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.