Collaboration Station

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

1310918 Issued in OH

Legal business name

COLLABORATION STATION

Practice address

4614 Prospect Ave Ste 325
Cleveland, OH 44103-4377

Phone

(216) 777-2136

NPI assigned

Nov 16, 2016

Organization subpart

No

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

Authorized official

Name

Miss Cheryl J Smith

Title

Executive Director

Phone

(216) 777-2136

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Maureen Paige-Bobo, LSW

  • Professional Counselor
  • Cleveland, OH
  • NPI 1730617754
  NPD
• Theresa Riemer

  • Registered Dietitian
  • Cleveland, OH
  • NPI 1386173359
  NPD (past)

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

{
    "created_epoch": "1479254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790227155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4614 PROSPECT AVE",
            "address_2": "SUITE 325",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034394",
            "telephone_number": "216-777-2136",
            "fax_number": "888-380-3849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4614 PROSPECT AVE STE 325",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441034377",
            "telephone_number": "216-777-2136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3619 Walton Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441134949",
            "country_code": "US",
            "telephone_number": "216-777-2136",
            "fax_number": "888-380-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COLLABORATION STATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-777-2136",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "OH",
            "license": "1310918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0163026",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robbyn Coley
• Nicholas Colgrove, PT
• Aimee Lynn Coliano, MSN, APRN, WHNP-BC
• Joseph D Colini, LICENSED OPTICIAN
• Lilian S Coll, QMHS
• Magda Giselle Collazo, CT
• Dave Colletti, LISW
• Kristie Colley, LSW
• Anthony Collie
• Beverly Collier

• Voluntary or Charitable Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Voluntary or Charitable Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.