Self Care Therapy LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SELF CARE THERAPY LLC

Practice address

20525 Detroit Rd Ste 4
Rocky River, OH 44116-2444

Phone

(216) 566-4018

NPI assigned

Mar 25, 2021

Last updated

Mar 25, 2021By 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

Donard IdadaNPI 1467703306

Title

Owner/Member

Phone

(216) 566-4018

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donard Idada, LISW

  • Mental Health Counselor
  • Rocky River, OH
  • NPI 1467703306
  NPD Authorized official

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

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1821675075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 4",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20525 DETROIT RD STE 4",
            "city": "ROCKY RIVER",
            "state": "OH",
            "postal_code": "441162444",
            "telephone_number": "216-566-4018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF CARE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-25",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A",
        "authorized_official_last_name": "IDADA",
        "authorized_official_first_name": "DONARD",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "216-566-4018"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carly Schneid, M.A., LPCC, AT
• Julie Schoenlein, LISW-S
• Darian L Scott
• Kimberly A Scott
• James R. Seiple, D.P.M.
• Senior Home Solutions, LLC
• Ali N. Shaikh, M.D.
• Scott Nathan Shapiro, D.D.S.
• Jacqueline Rose Sheehan, LPN
• Sydney Bowen Sheehan

• Mental Health Clinic/Center (Including Community Mental Health Center) in Rocky River, OH
• Providers in Rocky River, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.