NPIMap

Organization Active NPI

Murtis Taylor Human Services System

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cleveland, OH
National Provider Identifier
1629001920
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
289 Issued in OH
Legal business name
MURTIS TAYLOR HUMAN SERVICES SYSTEM
Practice address
13422 Kinsman Rd
Cleveland, OH 44120-4410
Phone
(216) 283-4400
NPI assigned
Jul 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Marqueta A Osborne
Title
Billing Manager
Phone
(216) 283-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 289 OH Primary

Addresses

Primary practice location

13422 Kinsman Rd
Cleveland, OH 44120-4410

Mailing address

13422 Kinsman Rd
Cleveland, OH 44120-4410
Phone (216) 283-4400

Other identifiers 2

IdentifierTypeStateIssuer
0959511MedicaidOH
0333044MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031217001141 OH Part B Supplier - Clinic/Group Practice 1052218922 Receives reassigned benefits from 18 practitioners
Practice locations: Cleveland, OH

National Provider Directory

National Provider Directory

Locations

10640 Saint Clair Ave
Cleveland, OH 44108
Phone (216) 541-4444

2121 Saint Clair Ave NE
Cleveland, OH 44114

3010 Project Ave
Cleveland, OH 44115
Phone (216) 902-7500

11008 Detroit Ave
Cleveland, OH 44102
Phone 21628344002268

900 E 105th St
Cleveland, OH 44108

1862 Noble Rd
East Cleveland, OH 44112
Phone (216) 513-0817

Practitioners & affiliated clinicians

Practitioners 64

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 64

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1629001920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13422 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204410",
            "telephone_number": "216-283-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13422 KINSMAN RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441204410",
            "telephone_number": "216-283-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURTIS TAYLOR HUMAN SERVICES SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "MARQUETA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "216-283-4400"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959511",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0333044",
            "state": "OH"
        }
    ],
    "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 Jan 24, 2018; 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.