NPIMap

Organization Active NPI

Wholistic Behavioral Health, LLC

Doing business as Wholistic Behavior

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
National Provider Identifier
1487335493
Registry record updated Jul 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WHOLISTIC BEHAVIORAL HEALTH, LLC
Doing business as
Wholistic Behavior
Practice address
1536 Saint Clair Ave NE
Cleveland, OH 44114-2004
Phone
(240) 229-6417
NPI assigned
Jul 31, 2023
Last updated
Jul 31, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2023

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

Authorized official

Name
Veronica S Logan, LCSW-CNPI 1659825966
Title
Owner
Phone
(443) 416-5667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Children's Substance Abuse Rehabilitation Facility 3245S0500X NU

Addresses

Primary practice location

1536 Saint Clair Ave NE
Cleveland, OH 44114-2004

Mailing address

1120 N Charles St Ste 408
Baltimore, MD 21201-5594
Phone (443) 416-5667

Other names 1

  • Wholistic Behavior Doing business as

National Provider Directory

National Provider Directory

Locations

1536 Saint Clair Ave NE
Cleveland, OH 44114
Phone (216) 220-7250

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1487335493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 N CHARLES ST STE 408",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212015594",
            "telephone_number": "443-416-5667",
            "fax_number": "443-687-8720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1536 SAINT CLAIR AVE NE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441142004",
            "telephone_number": "240-229-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "LOGAN",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-416-5667",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wholistic Behavior",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 31, 2023; 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.