Organization Active NPI

Emycele Health Services LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Solon, OH
National Provider Identifier
1285411934
Registry record updated Jun 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
EMYCELE HEALTH SERVICES LLC
Doing business as
emycele health services llc
Practice address
6150 Enterprise Pkwy
Solon, OH 44139-2755
Phone
(216) 616-5900
Fax
(440) 794-2210
NPI assigned
Sep 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2024

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

Authorized official

Name
Emilia Chinenye Mba, PMHNPNPI 1700170628
Title
Pmhnp
Phone
(832) 858-6686

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

6150 Enterprise Pkwy
Solon, OH 44139-2755

Mailing address

6150 Enterprise Pkwy
Solon, OH 44139-2755
Phone (216) 616-5900

Other names 1

  • emycele health services llc Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL fax Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250708004429 OH Part B Supplier - Clinic/Group Practice 0042724478 Receives reassigned benefits from 1 practitioner
Practice locations: Solon, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Emycele Health Services LLC2 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

6150 Enterprise Pkwy
Solon, OH 44139
Phone (216) 374-1078

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1285411934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 ENTERPRISE PKWY",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392755",
            "telephone_number": "216-616-5900",
            "fax_number": "440-794-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 ENTERPRISE PKWY",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441392755",
            "telephone_number": "216-616-5900",
            "fax_number": "440-794-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMYCELE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "MBA",
        "authorized_official_first_name": "EMILIA",
        "authorized_official_middle_name": "CHINENYE",
        "authorized_official_title_or_position": "PMHNP",
        "authorized_official_telephone_number": "832-858-6686",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "fax",
            "affiliation": "N",
            "endpointDescription": "4402718723",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "emba@emycelehealthservices.com",
            "address_1": "6150 Enterprise Pkwy",
            "city": "Solon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441392755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "emycele health services llc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "emycele health services llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Solon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.