Individual provider Active NPI

Michael Greenfelder, QMHS - 3

  • Case Manager/Care Coordinator
  • Akron, OH
National Provider Identifier
1699007831
Registry record updated Nov 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
150 Cross St
Community Support Services, Inc.
Akron, OH 44311-1047
Phone
(330) 253-9388
Fax
(330) 253-0377
NPI assigned
Feb 12, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X RN196294 OH
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

150 Cross St
Community Support Services, Inc.
Akron, OH 44311-1047

Mailing address

150 Cross St
Community Support Services, Inc.
Akron, OH 44311-1047
Phone (330) 253-9388

Other identifiers 1

IdentifierTypeStateIssuer
RN196294OtherOHOHIO STATE BOARD OF NURSING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RN196294OHMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Support Services, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1699007831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 CROSS ST",
            "address_2": "COMMUNITY SUPPORT SERVICES, INC.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111047",
            "telephone_number": "330-253-9388",
            "fax_number": "330-253-0377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CROSS ST",
            "address_2": "COMMUNITY SUPPORT SERVICES, INC.",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111047",
            "telephone_number": "330-253-9388",
            "fax_number": "330-253-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFELDER",
        "first_name": "MICHAEL",
        "credential": "QMHS - 3",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "OH",
            "license": "RN196294",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OHIO STATE BOARD OF NURSING",
            "identifier": "RN196294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.