NPIMap

Organization Active NPI

Patrick D. Enders, M.D., L.L.C.

  • Psychiatry Physician
  • Mayfield Heights, OH
National Provider Identifier
1588844302
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35039953 Issued in OH
Legal business name
PATRICK D. ENDERS, M.D., L.L.C.
Practice address
6009 Landerhaven Dr
Suite F
Mayfield Heights, OH 44124-4192
Phone
(440) 461-0042
Fax
(440) 461-5033
NPI assigned
Nov 8, 2007
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Patrick Daniel Enders, M.D.NPI 1750389771
Title
President
Phone
(440) 461-0042

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35039953 OH Primary

Addresses

Primary practice location

6009 Landerhaven Dr
Suite F
Mayfield Heights, OH 44124-4192

Mailing address

6009 Landerhaven Dr
Suite F
Mayfield Heights, OH 44124-4192
Phone (440) 461-0042

Other identifiers 3

IdentifierTypeStateIssuer
000000122911OtherBLUE CROSS BLUE SHIELD
0321842MedicaidOH
A75798OtherUPIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1588844302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR",
            "address_2": "SUITE F",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-461-0042",
            "fax_number": "440-461-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6009 LANDERHAVEN DR",
            "address_2": "SUITE F",
            "city": "MAYFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441244192",
            "telephone_number": "440-461-0042",
            "fax_number": "440-461-5033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK D. ENDERS, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "ENDERS",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-461-0042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35039953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000000122911",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0321842",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "A75798",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.