Active NPI
Melvin Painter, PH.D., Inc.
- Adult Mental Health Clinic/Center
- Lakewood, OH
National Provider Identifier
1578896387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 3040
- Legal business name
- MELVIN PAINTER, PH.D., INC.
- Practice address
- 14701 Detroit Ave
Suite 258
Lakewood, OH 44107-4115 - Phone
- (216) 226-4610
- Fax
- (216) 226-4720
- NPI assigned
- Sep 10, 2009
- 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
- Dr. Melvin Painter, PH.D.
- Title
- President/Psychologist
- Phone
- (216) 226-4610
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 3040 | OH | Primary |
Addresses
Primary practice location
14701 Detroit Ave
Suite 258
Lakewood, OH 44107-4115
Mailing address
14701 Detroit Ave
Suite 258
Lakewood, OH 44107-4115
Phone (216) 226-4610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0512190 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
14701 Detroit Ave
Ste 258
Lakewood, OH 44107
Phone (216) 226-4610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252540800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252540800000",
"number": "1578896387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14701 DETROIT AVE",
"address_2": "SUITE 258",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074115",
"telephone_number": "216-226-4610",
"fax_number": "216-226-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14701 DETROIT AVE",
"address_2": "SUITE 258",
"city": "LAKEWOOD",
"state": "OH",
"postal_code": "441074115",
"telephone_number": "216-226-4610",
"fax_number": "216-226-4720"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MELVIN PAINTER, PH.D., INC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-10",
"last_updated": "2009-09-10",
"status": "A",
"authorized_official_last_name": "PAINTER",
"authorized_official_first_name": "MELVIN",
"authorized_official_title_or_position": "PRESIDENT/PSYCHOLOGIST",
"authorized_official_telephone_number": "216-226-4610",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "OH",
"license": "3040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0512190",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.