Kelly Fanger

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

3966 Warrensville Center Rd
Beachwood, OH 44122-6770

Phone

(440) 340-5086

Fax

(440) 340-5035

NPI assigned

Jun 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Restore Outreach Center Ohio

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warrensville Heights, OH
  • NPI 1477185676
  NPD (past)

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1538053863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 LANDERBROOK DR STE 301",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244020",
            "telephone_number": "216-972-6163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3966 WARRENSVILLE CENTER RD",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441226770",
            "telephone_number": "440-340-5086",
            "fax_number": "440-340-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FANGER",
        "first_name": "KELLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.2604986-TRNE",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martina Fabian
• Jerome Livingston Faist, DDS
• Sarah Roya Faizi, MD
• Richard Falconer
• Jennifer Josephine Falzetta-Smith, LMT
• Fantl Hearing, LLC
• George Farah, MD
• Lisa Farah
• Julia Farber, PHARMD
• Farid Sabet M.D. Inc

• Case Manager/Care Coordinator in Beachwood, OH
• Providers in Beachwood, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.