Active NPI
Glenbeigh
- Addiction (Substance Use Disorder) Psychologist
- Rock Creek, OH
National Provider Identifier
1831935857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- Legal business name
- GLENBEIGH
- Practice address
- 2863 State Route 45 N
Rock Creek, OH 44084-9352 - Phone
- (440) 563-3400
- NPI assigned
- Jul 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alanna Dames
- Title
- Cfo
- Phone
- (440) 997-6553
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Primary |
Addresses
Primary practice location
2863 State Route 45 N
Rock Creek, OH 44084-9352
Mailing address
PO Box 74060
Cleveland, OH 44194-4060
Phone (440) 997-6553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Glenbeigh
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Special Hospital
- Rock Creek, OH
- NPI 1881935617
-
- Special Hospital
- Rock Creek, OH
- NPI 1245685452
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rock Creek, OH
- NPI 1629785761
-
- Psychiatry Physician
- Warren, OH
- NPI 1144206087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720483200000",
"number": "1831935857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 74060",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441944060",
"telephone_number": "440-997-6553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2863 STATE ROUTE 45 N",
"city": "ROCK CREEK",
"state": "OH",
"postal_code": "440849352",
"telephone_number": "440-563-3400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GLENBEIGH",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-09",
"last_updated": "2024-07-09",
"certification_date": "2024-07-09",
"status": "A",
"authorized_official_last_name": "DAMES",
"authorized_official_first_name": "ALANNA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "440-997-6553"
},
"taxonomies": [
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rock Creek, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.