Active NPI
The Past Project
- Community/Behavioral Health Agency
- Maple Heights, OH
National Provider Identifier
1629520754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 1.1302427
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.