Active NPI
Enbodylife
Doing business as Enbody
- Psychiatric/Mental Health Nurse Practitioner
- Shaker Heights, OH
National Provider Identifier
1942079975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- ENBODYLIFE
- Doing business as
- Enbody
- Practice address
- 16808 Chagrin Blvd
Shaker Heights, OH 44120-3724 - Phone
- (440) 409-2023
- Fax
- (216) 415-6858
- NPI assigned
- Jan 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffinne Perkins
- Title
- Ceo
- Phone
- (216) 415-6818
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
16808 Chagrin Blvd
Shaker Heights, OH 44120-3724
Mailing address
1408 S Green Rd
South Euclid, OH 44121-3920
Phone (440) 409-2023
Other names 1
- Enbody
National Provider Directory
National Provider DirectoryLocations
16808 Chagrin Blvd
Shaker Heights, OH 44120
Phone (440) 409-2023
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Medina, OH
- NPI 1184981870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1748304000000",
"number": "1942079975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1408 S GREEN RD",
"city": "SOUTH EUCLID",
"state": "OH",
"postal_code": "441213920",
"telephone_number": "440-409-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16808 CHAGRIN BLVD",
"city": "SHAKER HEIGHTS",
"state": "OH",
"postal_code": "441203724",
"telephone_number": "440-409-2023",
"fax_number": "216-415-6858"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ENBODYLIFE",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-02",
"last_updated": "2025-05-27",
"certification_date": "2025-05-27",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "TIFFINNE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "216-415-6818"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Enbody",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Enbody",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Shaker Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.