Individual provider Active NPI

Laurel Ann Ralston, DO

  • Psychiatry Physician
  • Cleveland, OH
National Provider Identifier
1417190281
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34.010326 Issued in OH
Practice address
2351 E 22ND St Ste An114
Cleveland, OH 44115-3111
Phone
(216) 363-2538
Fax
(216) 694-4604
NPI assigned
Apr 9, 2009
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34.010326 OH Primary

Addresses

Primary practice location

2351 E 22ND St Ste An114
Cleveland, OH 44115-3111

Mailing address

PO Box 932004
Cleveland, OH 44193-0007
Phone (216) 363-2538

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120305000162 OH Practitioner - Psychiatry 6204095607 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Metrohealth SystemGroup PAC ID 8628982949, 1,150 clinicians

Practice addresses (Care Compare)

2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 778-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.010326OHMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Current Accepting new patients
Laurelwood Associates Inc CurrentSince Mar 23, 2022 Accepting new patients
St Vincent Charity Medical Center CurrentSince Jul 1, 2021 Accepting new patients
The Metrohealth System Psychiatry CurrentSince Apr 9, 2023 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
St Vincent Charity Medical Center Psychiatry CurrentSince Jul 1, 2021 Accepting new patients
The Metrohealth System CurrentSince Apr 9, 2023 Accepting new patients

Locations

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

2475 E 22nd St
Fl 4
Cleveland, OH 44115
Phone (216) 363-2570

9500 Euclid Ave
#R20
Cleveland, OH 44195
Phone (216) 444-3861

2351 E 22nd St
Ste AN114
Cleveland, OH 44115
Phone (216) 363-2538

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

35900 Euclid Ave
Willoughby, OH 44094
Phone (440) 953-3000

Interoperability endpoints

  • Direct secure messaging: lralston244445@direct.metrohealth.org
  • Direct secure messaging: lralstondo81170@direct.ccf.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1417190281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 932004",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441930007",
            "telephone_number": "216-363-2538",
            "fax_number": "216-694-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 E 22ND ST STE AN114",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441153111",
            "telephone_number": "216-363-2538",
            "fax_number": "216-694-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RALSTON",
        "first_name": "LAUREL",
        "middle_name": "ANN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-09",
        "last_updated": "2024-04-16",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34.010326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.