Deljaun Leshawn Fields

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

DELJAUN LESHAWN FIELDS

Doing business as

Royal Family Member

Practice address

4185 Eastway Rd
South Euclid, OH 44121

Phone

(216) 407-4669

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By 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

Deljaun-Leshawn: Fields

Title

Premier

Phone

(216) 309-9257

Specialties & licenses 2

Addresses

Other names 1

• ROYAL FAMILY MEMBER Doing business as

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678406400000",
    "number": "1861193526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11811 SHAKER BLVD, STE",
            "address_2": "204 PMB 10027",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 EASTWAY RD",
            "city": "SOUTH EUCLID",
            "state": "OH",
            "postal_code": "44121",
            "telephone_number": "216-407-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELJAUN LESHAWN FIELDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A",
        "authorized_official_last_name": "FIELDS",
        "authorized_official_first_name": "DELJAUN-LESHAWN:",
        "authorized_official_title_or_position": "PREMIER",
        "authorized_official_telephone_number": "216-309-9257"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROYAL FAMILY MEMBER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Pastoral Counselor in South Euclid, OH
• Providers in South Euclid, OH by specialty
• Pastoral Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.