NPIMap

Organization Active NPI

Neighboring

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mentor, OH
National Provider Identifier
1275588808
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
NEIGHBORING
Practice address
5930 Heisley Rd
Mentor, OH 44060-1834
Phone
(440) 354-9924
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. W Spence Kline III, JD MED LPC
Title
Chief Executive Officer
Phone
(440) 354-9924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5930 Heisley Rd
Mentor, OH 44060-1834

Mailing address

5930 Heisley Rd
Mentor, OH 44060-1834
Phone (440) 354-9924

Other identifiers 1

IdentifierTypeStateIssuer
2362429MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Beacon Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5930 Heisley Rd
Mentor, OH 44060
Phone (440) 354-9924

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275588808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601834",
            "telephone_number": "440-354-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 HEISLEY RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440601834",
            "telephone_number": "440-354-9924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIGHBORING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLINE",
        "authorized_official_first_name": "W",
        "authorized_official_middle_name": "SPENCE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "440-354-9924",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "JD MED LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2362429",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.