Joseph Petti I

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

S0028369 Issued in OH

Practice address

11890 Fairhill Rd
Cleveland, OH 44120-1053

Phone

(216) 791-8000

Fax

(216) 373-1820

NPI assigned

Nov 17, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1285176511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34750 LAKE SHORE BLVD",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "440952012",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11890 FAIRHILL RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201053",
            "telephone_number": "216-791-8000",
            "fax_number": "216-373-1820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTI",
        "first_name": "JOSEPH",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-17",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "S0028369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Petsock, MSN, CRNA
• Julie A Pettee, CNP
• Karen Elizabeth Petter, AUD
• Gosta B Pettersson, MD
• Harriet Petti
• Yvette Marie Petti, PHD, APRN-BC
• Angela Tomieka Pettigrew, NURSE
• Gaetan Lorenz Pettigrew, M.D.
• Rebecca Petts, DMD
• Danielle R Pettus, STNA

• Mental Health Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; 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.