Organization Active NPI

Domestic Violence & Child Advocacy Center

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1588922181
Registry record updated May 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DOMESTIC VIOLENCE & CHILD ADVOCACY CENTER
Practice address
11811 Shaker Blvd
Suite 220
Cleveland, OH 44120-1931
Phone
(216) 229-2420
Fax
(216) 229-2474
NPI assigned
May 2, 2012
Last updated
May 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2012

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

Authorized official

Name
Linda Johanek, MSSA
Title
Ceo
Phone
(216) 651-8484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

11811 Shaker Blvd
Suite 220
Cleveland, OH 44120-1931

Mailing address

PO Box 5466
Cleveland, OH 44101-0466
Phone (216) 651-8484

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1588922181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5466",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441010466",
            "telephone_number": "216-651-8484",
            "fax_number": "216-651-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD",
            "address_2": "SUITE 220",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441201931",
            "telephone_number": "216-229-2420",
            "fax_number": "216-229-2474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMESTIC VIOLENCE & CHILD ADVOCACY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "JOHANEK",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-651-8484",
        "authorized_official_credential": "MSSA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.