Organization Active NPI

Melvin Painter, PH.D., Inc.

  • Adult Mental Health Clinic/Center
  • Lakewood, OH
National Provider Identifier
1578896387
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
3040 Issued in OH
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

Updated by the provider on Sep 10, 2009

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0512190MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.