Organization Active NPI

Citizens Academy East

  • Local Education Agency (LEA)
  • Cleveland, OH
National Provider Identifier
1790126878
Registry record updated Sep 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CITIZENS ACADEMY EAST
Practice address
12523 Woodside Ave
Cleveland, OH 44108-2422
Phone
(216) 456-2086
Fax
(216) 391-4770
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2014

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

Authorized official

Name
Charles Daane
Title
Cfo
Phone
(216) 456-2086

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TB0200X
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

12523 Woodside Ave
Cleveland, OH 44108-2422

Mailing address

12523 Woodside Ave
Cleveland, OH 44108-2422
Phone (216) 456-2086

National Provider Directory

National Provider Directory

Locations

12523 Woodside Ave
Cleveland, OH 44108
Phone (216) 367-9392

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409702400000",
    "number": "1790126878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12523 WOODSIDE AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082422",
            "telephone_number": "216-456-2086",
            "fax_number": "216-391-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITIZENS ACADEMY EAST",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2014-09-03",
        "status": "A",
        "authorized_official_last_name": "DAANE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "216-456-2086"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2014; 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.