Wilkes Mental Health Consultants Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

35-049560 Issued in OH

Legal business name

WILKES MENTAL HEALTH CONSULTANTS INC.

Practice address

23811 Chagrin Blvd
Ste. 170
Beachwood, OH 44122-5525

Phone

(216) 765-0440

Fax

(216) 765-0448

NPI assigned

Apr 16, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Gary Mason Wilkes, M.D.NPI 1548265051

Title

President and Coo

Phone

(216) 765-0440

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Mason Wilkes, M.D.

  • Psychiatry Physician
  • Beachwood, OH
  • NPI 1548265051
  Medicare reassignment NPD Authorized official
• Angela Biggs Wilkes, LPCC

  • Professional Counselor
  • Beachwood, OH
  • NPI 1093865867
  NPD (past)

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

{
    "created_epoch": "1460764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462233600000",
    "number": "1245684232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "STE. 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-765-0440",
            "fax_number": "216-765-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23811 CHAGRIN BLVD",
            "address_2": "STE. 170",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225525",
            "telephone_number": "216-765-0440",
            "fax_number": "216-765-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILKES MENTAL HEALTH CONSULTANTS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-16",
        "last_updated": "2016-05-03",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "MASON",
        "authorized_official_title_or_position": "PRESIDENT AND COO",
        "authorized_official_telephone_number": "216-765-0440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35-049560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shira Wiesen, PHD
• Kaley Marie Wiet, CRNA
• Tiel Marie Wilczynski, ATR, LPCC
• Breanna M Wiley
• Shawn C Wilker, MD
• Angela Biggs Wilkes, LPCC
• Gary Mason Wilkes, M.D.
• Jeffrey Wilkins
• William F Kubicek III DDS Inc
• Amanda Marie Williams

• Psychiatry Physician in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.