Organization Active NPI

Sankofa Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Cleveland, OH
National Provider Identifier
1841670387
Registry record updated May 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SANKOFA BEHAVIORAL HEALTH, INC.
Practice address
2260 Warrensville Center Rd
Suite Number 206
Cleveland, OH 44118-3146
Phone
(216) 647-8657
Fax
(216) 662-2285
NPI assigned
May 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2015

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

Authorized official

Name
Dr. Deborah Ann Martin-Grissom, PH.D., PCC-S, CDCANPI 1215265046
Title
President
Phone
(216) 647-8657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2260 Warrensville Center Rd
Suite Number 206
Cleveland, OH 44118-3146

Mailing address

4887 Lee Rd
Cleveland, OH 44128-3846
Phone (216) 647-8657

National Provider Directory

National Provider Directory

Locations

2260 Warrensville Center Rd
Ste 206
Cleveland, OH 44118
Phone (216) 541-9669

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1841670387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4887 LEE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441283846",
            "telephone_number": "216-647-8657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2260 WARRENSVILLE CENTER RD",
            "address_2": "SUITE NUMBER 206",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441183146",
            "telephone_number": "216-647-8657",
            "fax_number": "216-662-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN-GRISSOM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-647-8657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PCC-S, CDCA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 May 29, 2015; 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.