Tyshon C Coleman, MS

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

20600 Chagrin Blvd Ste 320
Shaker Heights, OH 44122-5334

Phone

(216) 295-7239

Fax

(216) 295-7240

NPI assigned

Dec 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Specialized Alternatives for Families and Youth of Ohio, Inc.

  • Community/Behavioral Health Agency
  • Lima, OH
  • NPI 1447216718
  NPD

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587081600000",
    "number": "1891333241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 ELIDA RD",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339056",
            "telephone_number": "419-695-8010",
            "fax_number": "419-695-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20600 CHAGRIN BLVD STE 320",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441225334",
            "telephone_number": "216-295-7239",
            "fax_number": "216-295-7240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "TYSHON",
        "middle_name": "C",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2020-04-17",
        "certification_date": "2020-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanti Coaston, LSW
• Gavin Cogan
• Bernadette Colegrove
• Adrienne Diana Coleman
• Kelli Elizabeth Coleman, BSW, LSW
• Lucia De Leon Colizoli, MD
• Haley Collis
• Compassionate Commutes LLC
• Kelly Elizabeth Conidi
• Karen J Conkey, LPCC

• Case Manager/Care Coordinator in Shaker Heights, OH
• Providers in Shaker Heights, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2020; 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.