Children's Community Access Program, Inc.

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

0562 Issued in OH

Legal business name

CHILDREN'S COMMUNITY ACCESS PROGRAM, INC.

Practice address

5000 Euclid Ave
Suite 204
Cleveland, OH 44103-3749

Phone

(216) 361-0633

Fax

(216) 361-0644

NPI assigned

Mar 27, 2006

Last updated

Jan 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Sherry Lynn Gibson, LSW, MSW

Title

Chief Operating Officer

Phone

(216) 361-0633

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1143417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1649230129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 EUCLID AVE",
            "address_2": "SUITE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033749",
            "telephone_number": "216-361-0633",
            "fax_number": "216-361-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 EUCLID AVE",
            "address_2": "SUITE 204",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441033749",
            "telephone_number": "216-361-0633",
            "fax_number": "216-361-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S COMMUNITY ACCESS PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-27",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "216-361-0633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LSW, MSW"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12463",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andres G Chiesa-Vottero, MD
• Gift Titus Chikumbu
• Kaleena Christine Chilcote, M.D.
• Daniel Childers, M.D.
• Whitney Childers
• Childrens Research Foundation of Cleveland
• Brandie Childress
• Darryl Childress, CDCA
• Donnetta Renee Childress
• Marissah Ann Childress

• Case Management Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2008; 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.