Organization Active NPI

Adult Wellness Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Beachwood, OH
National Provider Identifier
1932976362
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ADULT WELLNESS CLINIC LLC
Practice address
23850 Commerce Park Ste C
Beachwood, OH 44122-5829
Phone
(440) 781-5200
Fax
(216) 508-4058
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Authorized official

Name
Svetlana Alana Litvak, CNPNPI 1326289075
Title
Owner
Phone
(440) 781-5200

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

23850 Commerce Park Ste C
Beachwood, OH 44122-5829

Mailing address

23850 Commerce Park
Beachwood, OH 44122-5829
Phone (440) 781-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240424001051 OH Part B Supplier - Clinic/Group Practice 9537509526 Receives reassigned benefits from 3 practitioners
Practice locations: Beachwood, OH

National Provider Directory

National Provider Directory

Locations

23850 Commerce Park
Ste C
Beachwood, OH 44122
Phone (440) 219-0302

Practitioners & affiliated clinicians

Practitioners 5

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": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701820800000",
    "number": "1932976362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23850 COMMERCE PARK",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225829",
            "telephone_number": "440-781-5200",
            "fax_number": "216-508-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23850 COMMERCE PARK STE C",
            "city": "BEACHWOOD",
            "state": "OH",
            "postal_code": "441225829",
            "telephone_number": "440-781-5200",
            "fax_number": "216-508-4058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADULT WELLNESS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A",
        "authorized_official_last_name": "LITVAK",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_middle_name": "ALANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-781-5200",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beachwood, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; 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.