Active NPI
Solomon G Zaraa, D.O.
- Child & Adolescent Psychiatry Physician
- Cleveland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 34.009505
- Practice address
- 10524 Euclid Ave
Cleveland, OH 44106-2205 - Phone
- (216) 844-3881
- Fax
- (216) 844-5883
- NPI assigned
- Jun 6, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 34.009505 | OH | Primary |
Addresses
Primary practice location
10524 Euclid Ave
Cleveland, OH 44106-2205
Mailing address
24701 Euclid Ave
3Rd Floor
Euclid, OH 44117-1714
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3142138 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.009505 | OH | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Rosecrance Inc | Current | Accepting new patients | |
| Portage Path Community Mental Health Center | Past | Accepting new patients | |
| Portage Path Behavioral Health | Past | Accepting new patients |
Locations
801 N Walnut St
Champaign, IL 61820
Phone (217) 356-1558
2302 Moreland Blvd
Champaign, IL 61822
Phone (217) 355-1697
422 Tracy Ct
Crystal Lake, IL 60014
Phone (815) 363-6132
20635 Abbey Woods Ct N
Ste 310
Frankfort, IL 60423
Phone (888) 928-0144
505 S Schuyler Ave
Ste 105
Kankakee, IL 60901
Phone (815) 720-4975
47 6th Ave
Ste L
La Grange, IL 60525
Phone (708) 469-7912
2704 N Main St
Rockford, IL 61103
Phone (815) 720-5012
605 Mulberry St
Rockford, IL 61103
Phone (815) 720-4960
1601 University Dr
Rockford, IL 61107
Phone (815) 387-2500
3815 Harrison Ave
Rockford, IL 61108
Phone (805) 391-1000
1021 N Mulford Rd
Rockford, IL 61107
Phone (815) 387-5600
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Rockford, IL
- NPI 1013289446
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Champaign, IL
- NPI 1265880694
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Moline, IL
- NPI 1639892698
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Akron, OH
- NPI 1114492147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1225087802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310428800000",
"number": "1619170990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "3RD FLOOR",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10524 EUCLID AVE",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441062205",
"telephone_number": "216-844-3881",
"fax_number": "216-844-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARAA",
"first_name": "SOLOMON",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-06",
"last_updated": "2011-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OH",
"license": "34.009505",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3142138",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OH
- John Mark Zangmeister, M.D.
- Judy Morscher Zangmeister, R.D., L.D., C.D.E.
- Kristine M Zanotti, MD
- Elissa Zapolnik, PA-C
- Zara Bella Wellness Center Limited Liability Company
- Jaculyn Zarback, LPN
- Alexander T Zaremba, PA-C
- Evan Zaremba, PT, DPT
- Lindsay Gallagher Zaremba, M.D.
- Homayoun Zargar Shoshtari, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.