NPIMap

Organization Active NPI

Watson Community Health Centre

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
National Provider Identifier
1619797313
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
WATSON COMMUNITY HEALTH CENTRE
Practice address
16603 Harvard Ave
Cleveland, OH 44128-2203
Phone
(216) 375-1659
NPI assigned
Oct 16, 2024
Last updated
Oct 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Authorized official

Name
Yaleita Renee WatsonNPI 1205130564
Title
Ceo
Phone
(216) 375-1659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Children's Substance Abuse Rehabilitation Facility 3245S0500X
Respite Care 385H00000X

Addresses

Primary practice location

16603 Harvard Ave
Cleveland, OH 44128-2203

Mailing address

16603 Harvard Ave
Cleveland, OH 44128-2203
Phone (216) 999-7444

Other practice location 1

999 Polaris Pkwy Ste 104
Columbus, OH 43240-2051
Phone (614) 396-9541

Other practice location 2

784 Boardman Canfield Rd
Boardman, OH 44512-4344
Phone (330) 953-3559

Other practice location 3

10700 Montgomery Rd Ste 211
Montgomery, OH 45242-3260
Phone (513) 802-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250403001252 OH Part B Supplier - Clinic/Group Practice 7810411501 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cleveland, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

784 Boardman Canfield Rd
Boardman, OH 44512
Phone (216) 999-7444

999 Polaris Pkwy
Ste 104
Columbus, OH 43240
Phone (216) 999-7444

10700 Montgomery Rd
Ste 211
Montgomery, OH 45242
Phone (513) 802-5075

Practitioners & affiliated clinicians

Practitioners 12

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": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729036800000",
    "number": "1619797313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203",
            "telephone_number": "216-999-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16603 HARVARD AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441282203",
            "telephone_number": "216-375-1659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Polaris Pkwy Ste 104",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432402051",
            "country_code": "US",
            "telephone_number": "614-396-9541",
            "fax_number": "216-999-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "784 Boardman Canfield Rd",
            "address_purpose": "LOCATION",
            "city": "Boardman",
            "state": "OH",
            "postal_code": "445124344",
            "country_code": "US",
            "telephone_number": "330-953-3559",
            "fax_number": "216-999-7034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10700 Montgomery Rd Ste 211",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452423260",
            "country_code": "US",
            "telephone_number": "513-802-5075",
            "fax_number": "216-999-7034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WATSON COMMUNITY HEALTH CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "YALEITA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-375-1659"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.