Organization Active NPI

The Department of Veterans Affairs Medical Center

  • Psychiatric Hospital
  • Parma, OH
National Provider Identifier
1962748780
Registry record updated Dec 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
COA.14104-NP Issued in OH
Legal business name
THE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER
Practice address
8787 Brookpark Rd
Parma, OH 44129-6809
Phone
(216) 739-7000
Fax
(216) 739-7081
NPI assigned
Dec 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2012

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

Authorized official

Name
Jennifer Spies, PMHNP
Title
Nurse Practitioner
Phone
(216) 739-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X COA.14104-NP OH Primary

Addresses

Primary practice location

8787 Brookpark Rd
Parma, OH 44129-6809

Mailing address

8787 Brookpark Rd
Parma, OH 44129-6809
Phone (216) 739-7000

National Provider Directory

National Provider Directory
Tax ID family
Cleveland Vamc38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

8787 Brookpark Rd
Parma, OH 44129
Phone (216) 739-7000

NPI Registry JSON

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356480000000",
    "number": "1962748780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000",
            "fax_number": "216-739-7081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8787 BROOKPARK RD",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441296809",
            "telephone_number": "216-739-7000",
            "fax_number": "216-739-7081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEPARTMENT OF VETERANS AFFAIRS MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-26",
        "last_updated": "2012-12-26",
        "status": "A",
        "authorized_official_last_name": "SPIES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "216-739-7000",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "OH",
            "license": "COA.14104-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2012; 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.