Organization Active NPI

United States Telepathy

  • Health Service Psychologist
  • Cleveland Heights, OH
National Provider Identifier
1366236200
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
UNITED STATES TELEPATHY
Practice address
2867 Mayfield Rd Apt 1
Cleveland Heights, OH 44118-2050
Phone
(216) 314-7571
NPI assigned
Apr 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Prof. Xavier Direll WillisNPI 1144934852
Title
Xavier6
Phone
(216) 314-7571

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X Primary
Community/Behavioral Health Agency 251S00000X
Mobile Radiology Clinic/Center 261QR0208X
Point of Service 305S00000X
Air Carrier 344800000X

Addresses

Primary practice location

2867 Mayfield Rd Apt 1
Cleveland Heights, OH 44118-2050

Mailing address

2867 Mayfield Rd Apt 1
Cleveland Heights, OH 44118-2050
Phone (216) 314-7571

Other identifiers 1

IdentifierTypeStateIssuer
3K90-WR2-CX26MedicaidOH

Other names 1

  • Mind Council Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ombuds@oc.fda.gov Direct

National Provider Directory

National Provider Directory

Locations

10903 New Hampshire Ave
Bldg 1
Silver Spring, MD 20993

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": "1743984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1366236200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2867 MAYFIELD RD APT 1",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182050",
            "telephone_number": "216-314-7571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2867 MAYFIELD RD APT 1",
            "city": "CLEVELAND HEIGHTS",
            "state": "OH",
            "postal_code": "441182050",
            "telephone_number": "216-314-7571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED STATES TELEPATHY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_middle_name": "DIRELL",
        "authorized_official_title_or_position": "XAVIER6",
        "authorized_official_telephone_number": "216-314-7571",
        "authorized_official_name_prefix": "Prof."
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344800000X",
            "taxonomy_group": "",
            "desc": "Air Carrier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3K90-WR2-CX26",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ombuds@oc.fda.gov",
            "affiliation": "N",
            "endpointDescription": "Food & Drug Administration Ombudsman's Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10903 New Hampshire Avenue",
            "address_2": "White Oak Bldg 1, Suite 6158",
            "city": "Silver Spring",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209930002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Mind Council",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cleveland Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.