Cleveland Pain Management & Wellness Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

CLEVELAND PAIN MANAGEMENT & WELLNESS CENTER

Practice address

5454 State Rd
Parma, OH 44134-1200

Phone

(216) 398-9106

Fax

(216) 398-9109

NPI assigned

Dec 21, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Valentino Hernandez

Title

Operations Director

Phone

(216) 398-9106

Specialties & licenses 1

Addresses

Tax ID family

Cleveland Pain Management Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Cleveland Pain Management & Wellness Center Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Parma, OH
  • NPI 1528474921
  NPD tax ID

Locations

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1891064705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5454 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341200",
            "telephone_number": "216-398-9106",
            "fax_number": "216-398-9109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 STATE RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441341200",
            "telephone_number": "216-398-9106",
            "fax_number": "216-398-9109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND PAIN MANAGEMENT & WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "VALENTINO",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "216-398-9106",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gregory Charles Cline

• Addiction (Substance Use Disorder) Counselor in Parma, OH
• Providers in Parma, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.