Ohio Excel Care

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OHIO EXCEL CARE

Practice address

11811 Shaker Blvd Ste 204
Cleveland, OH 44120-1927

Phone

(225) 610-5376

Fax

(225) 361-0483

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Dickson E Idusuyi

Title

Ceo

Phone

(225) 610-5376

Specialties & licenses 2

Addresses

Practitioners 1

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

• Renita Prejean

  • Mental Health Counselor
  • Lafayette, LA
  • NPI 1588109920
  NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1275210213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927",
            "telephone_number": "225-610-5376",
            "fax_number": "225-361-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD STE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201927",
            "telephone_number": "225-610-5376",
            "fax_number": "225-361-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO EXCEL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "IDUSUYI",
        "authorized_official_first_name": "DICKSON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "225-610-5376"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio CVS Stores LLC
• Ohio Family Counseling and Recovery Services, LLC
• Ohio Functional Neurological Associates LLC
• Ohio Guidestone
• Ohio Health Training Center
• Ohio Podiatric Physicians and Surgeons Group, LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.