Organization Active NPI

The Past Project

  • Community/Behavioral Health Agency
  • Maple Heights, OH
National Provider Identifier
1629520754
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
1.1302427 Issued in OH
Legal business name
THE PAST PROJECT
Practice address
16254 Libby Rd
Maple Heights, OH 44137-1222
Phone
(216) 338-7907
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Mary Ellen Dale, PH.D.
Title
President - Executive Director
Phone
(216) 404-9243

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 1.1302427 OH Primary

Addresses

Primary practice location

16254 Libby Rd
Maple Heights, OH 44137-1222

Mailing address

5303 Northfield Rd Apt 505
Bedford HTS, OH 44146-1116
Phone (216) 404-9243

Other names 1

  • Prevailing and Surviving Together Other name

National Provider Directory

National Provider Directory

Locations

16254 Libby Rd
Maple Heights, OH 44137
Phone (216) 338-7907

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1629520754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5303 NORTHFIELD RD APT 505",
            "city": "BEDFORD HTS",
            "state": "OH",
            "postal_code": "441461116",
            "telephone_number": "216-404-9243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16254 LIBBY RD",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441371222",
            "telephone_number": "216-338-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PAST PROJECT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "MARY ELLEN",
        "authorized_official_title_or_position": "PRESIDENT - EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-404-9243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "1.1302427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prevailing and Surviving Together",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Maple Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.