Organization Active NPI

Hispanic Umadaop

  • Addiction (Substance Use Disorder) Counselor
  • Cleveland, OH
National Provider Identifier
1982054458
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
120988 Issued in OH
Legal business name
HISPANIC UMADAOP
Practice address
2202 Prame Ave
Cleveland, OH 44109
Phone
(440) 876-7806
NPI assigned
Jun 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Mr. Victor Owen Phillips, CDCA
Title
Counselor/Case Manager
Phone
(216) 351-3833

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 120988 OH Primary
Substance Abuse Rehabilitation Facility 324500000X 120988 OH

Addresses

Primary practice location

2202 Prame Ave
Cleveland, OH 44109

Mailing address

384 Prospect St.
Berea, OH 44017

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1982054458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "384 PROSPECT ST.",
            "city": "BEREA",
            "state": "OH",
            "postal_code": "44017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 PRAME AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44109",
            "telephone_number": "440-876-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC UMADAOP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-15",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "OWEN",
        "authorized_official_title_or_position": "COUNSELOR/CASE MANAGER",
        "authorized_official_telephone_number": "216-351-3833",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "120988",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "120988",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.