Carrington Youth Academy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0698 Issued in OH

Legal business name

CARRINGTON YOUTH ACADEMY

Practice address

2114 Noble Rd
Cleveland, OH 44112-1725

Phone

(216) 268-2400

Fax

(216) 268-2460

NPI assigned

Mar 9, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Bernard F Pawlikowsky

Title

Administrator

Phone

(216) 268-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Carrington Behavioral Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Carrington Youth Academy

  • Community/Behavioral Health Agency
  • Cleveland, OH
  • NPI 1568805240
  NPD tax ID

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

{
    "created_epoch": "1362787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368662400000",
    "number": "1811238215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 NOBLE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121725",
            "telephone_number": "216-268-2400",
            "fax_number": "216-268-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 NOBLE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441121725",
            "telephone_number": "216-268-2400",
            "fax_number": "216-268-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRINGTON YOUTH ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-09",
        "last_updated": "2013-05-16",
        "status": "A",
        "authorized_official_last_name": "PAWLIKOWSKY",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "216-268-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081391",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Kathleen Carrigg
• Jacob Carrillo-Hayley, MD
• Jessenia Carrillo, RN
• Mario Carrillo
• Carrington Youth Academy
• Aleathea Marie Carrington
• Kassey Carrington
• Mendi Joi Carrington
• Ana Carrion
• Mariangel Carrion, CDCA

• Community/Behavioral Health Agency in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; 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.