Organization Active NPI

Cleveland Entrepreneurship Preparatory School

  • Local Education Agency (LEA)
  • Cleveland, OH
National Provider Identifier
1831530054
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
CLEVELAND ENTREPRENEURSHIP PREPARATORY SCHOOL
Practice address
3615 Superior Avenue
Cleveland, OH 44114
Phone
(216) 456-2086
NPI assigned
Jul 16, 2013
Last updated
Oct 1, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Doug Mangen
Title
Treasurer
Phone
(216) 456-2086

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cognitive & Behavioral Psychologist 103TB0200X NU
Local Education Agency (LEA) 251300000X NU Primary

Addresses

Primary practice location

3615 Superior Avenue
Cleveland, OH 44114

Mailing address

3615 Superior Avenue
Cleveland, OH 44114
Phone (216) 456-2086

National Provider Directory

National Provider Directory

Locations

1417 E 36th St
Cleveland, OH 44114
Phone (216) 456-2080

NPI Registry JSON

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

{
    "created_epoch": "1373932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1831530054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 SUPERIOR AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-456-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 SUPERIOR AVENUE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44114",
            "telephone_number": "216-456-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND ENTREPRENEURSHIP PREPARATORY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-16",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MANGEN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "216-456-2086"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "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 Oct 1, 2019; 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.