Mahogany 360 Fitness, LLC

Primary specialty

Exercise & Sports PsychologistTaxonomy code 103TE1100X

Legal business name

MAHOGANY 360 FITNESS, LLC

Doing business as

Mahogany 360 Fitness, LLC

Practice address

17325 Euclid Ave Ste 1094
Cleveland, OH 44112-1247

Phone

(216) 282-7696

NPI assigned

Apr 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Angela BrownNPI 1730713603

Title

Manager

Phone

(216) 282-7696

Specialties & licenses 3

Addresses

Other names 1

• Mahogany 360 Fitness, LLC Doing business as

Locations

Practitioners 1

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

• Angela Brown

  • Case Manager/Care Coordinator
  • Cleveland, OH
  • NPI 1730713603
  NPD Authorized official

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713916800000",
    "number": "1629822614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 43371",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441430371",
            "telephone_number": "216-282-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17325 EUCLID AVE STE 1094",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121247",
            "telephone_number": "216-282-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHOGANY 360 FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "216-282-7696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mahogany 360 Fitness, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mahogany 360 Fitness, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manal Mahmoud, M.D
• Muhannad Mahmoud Tariq Mahmoud, MD
• Walaa Mahmoud, MBBS
• Kiarash Mahmoudidizaji
• Shamin Hayat Mahmud, MD
• Marilyn Maholtz
• Alicia K Mahone
• Abigail Mahoney
• Allison T. Mahoney, APRN, AG-CNS, CMSRN
• Christen M Mahoney, AA

• Psychologist in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.