Active NPI
Hispanic Umadaop
- Addiction (Substance Use Disorder) Counselor
- Cleveland, OH
National Provider Identifier
1982054458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 120988
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryNPI 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.