Bethlehem Community Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BETHLEHEM COMMUNITY HEALTH

Practice address

3347 Braemar Rd
Shaker Heights, OH 44120-3331

Phone

(512) 762-1058

NPI assigned

Aug 31, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Patrice Mallard

Title

Managing Director

Phone

(512) 762-1058

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1346768173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 BRAEMAR RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203331",
            "telephone_number": "512-762-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 BRAEMAR RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441203331",
            "telephone_number": "512-762-1058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETHLEHEM COMMUNITY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MALLARD",
        "authorized_official_first_name": "PATRICE",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "512-762-1058"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Paul Benko, RN
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• Kellie Binczyk, RN
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• Cori Lynn Binko, LPCC-S, LCDCIII
• Philip Michael Biondo, LSW

• Community/Behavioral Health Agency in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.