Active NPI
Daniel Adam Blau
- Case Manager/Care Coordinator
- Cleveland, OH
National Provider Identifier
1407523988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 12395 McCracken Rd
Cleveland, OH 44125-2967 - Phone
- (216) 587-6727
- NPI assigned
- Aug 24, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
12395 McCracken Rd
Cleveland, OH 44125-2967
Mailing address
6620 Aintree Park Dr Apt 202
Mayfield, OH 44143-3565
Phone (216) 978-7304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kelli Anne Chamberlain | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric/Mental Health Registered Nurse
- Garfield HTS, OH
- NPI 1013418458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1407523988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6620 AINTREE PARK DR APT 202",
"city": "MAYFIELD",
"state": "OH",
"postal_code": "441433565",
"telephone_number": "216-978-7304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12395 MCCRACKEN RD",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441252967",
"telephone_number": "216-587-6727"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAU",
"first_name": "DANIEL",
"middle_name": "ADAM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.