Lee Harvard Treatment Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

35059795 Issued in OH

Legal business name

LEE HARVARD TREATMENT INC

Practice address

16603 Harvard Ave
Cleveland, OH 44128-2203

Phone

(216) 921-5222

Fax

(216) 921-6421

NPI assigned

Jul 6, 2007

Organization subpart

No

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

Authorized official

Name

Marcellus Gilreath, MD

Title

Physician

Phone

(216) 921-5222

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222387200000",
    "number": "1255539631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203",
            "telephone_number": "216-921-5222",
            "fax_number": "216-921-6421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203",
            "telephone_number": "216-921-5222",
            "fax_number": "216-921-6421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEE HARVARD TREATMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-09-26",
        "status": "A",
        "authorized_official_last_name": "GILREATH",
        "authorized_official_first_name": "MARCELLUS",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "216-921-5222",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "35059795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0237612",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0737331",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OBWC",
            "identifier": "28658600300",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard J Lederman, MD
• Jannie M Ledger
• Brian James Ledney, RPH
• Samantha Leduc, CRNA
• Sharon Lee Christian, CDCA
• Adrienne Lee, MD
• Alexis W Lee, MA
• Alyssa Lee, OTR/L
• Amber Lee, MD
• Amy L Lee, PHD

• Health Service Clinic/Center in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; 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.