Individual provider Active NPI

Jonathan Cleveland, PH.D.

  • Psychologist
  • Dayton, OH
National Provider Identifier
1568910974
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
6500 Poe Ave Ste 400
Dayton, OH 45414-2527
Phone
(937) 276-3356
NPI assigned
Sep 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 7473 OH
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

6500 Poe Ave Ste 400
Dayton, OH 45414-2527

Mailing address

425 N Findlay St
Dayton, OH 45404-2287
Phone (937) 716-7663

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190322000838 OH Practitioner - Clinical Psychologist 5991045239 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Collective Within, LLCGroup PAC ID 4486141389, 2 clinicians
Cordell Associates, LLCGroup PAC ID 8325130453, 8 clinicians

Practice addresses (Care Compare)

425 N Findlay St
Dayton, OH 45404-2296
Phone (937) 212-4969

6500 Poe Ave
Suite 400
Dayton, OH 45414-2870
Phone (937) 276-3356

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7473OHMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cordell Associates, LLC Clinical CurrentSince Feb 17, 2019 Accepting new patients
Collective Within, LLC Clinical CurrentSince Sep 3, 2025 Accepting new patients

Locations

425 N Findlay St
Ste 12
Dayton, OH 45404
Phone (937) 212-4969

6520 Poe Ave
Ste 200
Dayton, OH 45414
Phone (937) 276-3356

6500 Poe Ave
Ste 400
Dayton, OH 45414
Phone (937) 276-3356

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1568910974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 N FINDLAY ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454042287",
            "telephone_number": "937-716-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 POE AVE STE 400",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142527",
            "telephone_number": "937-276-3356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-14",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "7473",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.