Active NPI
Citizens Academy
- Local Education Agency (LEA)
- Cleveland, OH
National Provider Identifier
1467893677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- CITIZENS ACADEMY
- Practice address
- 3615 Superior Avenue
Cleveland, OH 44114 - Phone
- (216) 456-2086
- NPI assigned
- Jul 16, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doug Mangen
- Title
- Treasurer
- Phone
- (216) 456-2086
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
3615 Superior Avenue
Cleveland, OH 44114
Mailing address
3615 Superior Avenue
Cleveland, OH 44114
Phone (216) 456-2086
National Provider Directory
National Provider Directory- Tax ID family
- Citizens Academy
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Local Education Agency (LEA)
- Cleveland, OH
- NPI 1972944031
Locations
10118 Hampden Ave
Cleveland, OH 44108
3615 Superior Ave
Cleveland, OH 44114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373932800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1569888000000",
"number": "1467893677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3615 SUPERIOR AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44114",
"telephone_number": "216-456-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3615 SUPERIOR AVENUE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "44114",
"telephone_number": "216-456-2086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CITIZENS ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2013-07-16",
"last_updated": "2019-10-01",
"status": "A",
"authorized_official_last_name": "MANGEN",
"authorized_official_first_name": "DOUG",
"authorized_official_title_or_position": "TREASURER",
"authorized_official_telephone_number": "216-456-2086"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"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 Oct 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.