Active NPI
Patrick L. Prestridge, I.M.F.T.
- Marriage & Family Therapist
- Cleveland, OH
National Provider Identifier
1518090380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- F.0000010
- Practice address
- 3235 Prospect Ave E
Cleveland, OH 44115-2613 - Phone
- (216) 406-9217
- NPI assigned
- Mar 13, 2007
- Last updated
- Jul 8, 2007
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | F.0000010 | OH | Primary |
Addresses
Primary practice location
3235 Prospect Ave E
Cleveland, OH 44115-2613
Mailing address
364 High St
Wadsworth, OH 44281-1844
Phone (330) 715-2913
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F.0000010 | OH | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1518090380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "364 HIGH ST",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442811844",
"telephone_number": "330-715-2913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3235 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152613",
"telephone_number": "216-406-9217"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTRIDGE",
"first_name": "PATRICK",
"middle_name": "L.",
"name_prefix": "Mr.",
"credential": "I.M.F.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "OH",
"license": "F.0000010",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.