Organization Active NPI

Spectrum of Supportive Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
National Provider Identifier
1407928237
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
0339 Issued in OH
Legal business name
SPECTRUM OF SUPPORTIVE SERVICES
Practice address
2900 Detroit Avenue
Third Floor
Cleveland, OH 44124-2710
Phone
(216) 939-2065
Fax
(216) 939-2077
NPI assigned
Nov 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Stephen S Morse, JD
Title
President and Ceo
Phone
(216) 939-2065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0339 OH Primary

Addresses

Primary practice location

2900 Detroit Avenue
Third Floor
Cleveland, OH 44124-2710

Mailing address

2900 Detroit Avenue
Third Floor
Cleveland, OH 44124-2710
Phone (216) 939-2065

Other identifiers 1

IdentifierTypeStateIssuer
10232OtherOHDEPT OF MENTAL HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407928237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 DETROIT AVENUE",
            "address_2": "THIRD FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242710",
            "telephone_number": "216-939-2065",
            "fax_number": "216-939-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 DETROIT AVENUE",
            "address_2": "THIRD FLOOR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441242710",
            "telephone_number": "216-939-2065",
            "fax_number": "216-939-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF SUPPORTIVE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MORSE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "216-939-2065",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF MENTAL HEALTH",
            "identifier": "10232",
            "state": "OH"
        }
    ],
    "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 22, 2020; 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.