Center for Behavioral Health and Sleep Disorders

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CENTER FOR BEHAVIORAL HEALTH AND SLEEP DISORDERS

Practice address

805 E Washington St Ste 200
Medina, OH 44256-3331

Phone

(234) 564-6646

Fax

(234) 517-6646

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Kamala S Adury, MDNPI 1619142387

Title

Owner of Entity

Phone

(234) 564-6646

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 2

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

• Kamala Sundari Adury, M.D.

  • Psychiatry Physician
  • Medina, OH
  • NPI 1619142387
  Medicare reassignment Care Compare group Authorized official
• Adriane G Bennett, PHD

  • Clinical Psychologist
  • Cleveland, OH
  • NPI 1336444389
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1861077265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3364 PRAIRIE VISTA CT",
            "city": "RICHFIELD",
            "state": "OH",
            "postal_code": "442869079",
            "telephone_number": "234-564-6646",
            "fax_number": "234-517-6646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 E WASHINGTON ST STE 200",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563331",
            "telephone_number": "234-564-6646",
            "fax_number": "234-517-6646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR BEHAVIORAL HEALTH AND SLEEP DISORDERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A",
        "authorized_official_last_name": "ADURY",
        "authorized_official_first_name": "KAMALA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "234-564-6646",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catholic Charities Corporation
• Catholic Charities Services Corporation
• Medio Anthony Caucci Jr.
• Brittany Peterson Cavanaugh, D.O.
• Joshua Cavrak, RPH
• Mark Cerny
• Joan Cervino, APRN-CNP
• Randall Charles
• Bailey Noel Chatham
• Maryann Chee, PH.D.

• Psychiatry Physician in Medina, OH
• Providers in Medina, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.

Verify at the official NPI Registry.