Individual provider Active NPI

Carlton Smith

  • Behavior Technician
  • Cleveland, OH
National Provider Identifier
1982329496
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
13110 Shaker SQ Ste C-200
Cleveland, OH 44120-2373
Phone
(216) 512-0321
Fax
(216) 370-3192
NPI assigned
Oct 6, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X OH Primary

Addresses

Primary practice location

13110 Shaker SQ Ste C-200
Cleveland, OH 44120-2373

Mailing address

4681 Country LN Apt 253
Warrensville Heights, OH 44128-5851
Phone (216) 409-1428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The Black Mental Health Corporation CurrentSince Oct 9, 2022 Accepting new patients
The Black Mental Health Corporation PastSince Oct 9, 2022 Accepting new patients

Locations

13110 Shaker Sq
Ste C200
Cleveland, OH 44120
Phone (216) 418-5545

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23610/brand/1/csg/1/fhir/r4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665014400000",
    "number": "1982329496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4681 COUNTRY LN APT 253",
            "city": "WARRENSVILLE HEIGHTS",
            "state": "OH",
            "postal_code": "441285851",
            "telephone_number": "216-409-1428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13110 SHAKER SQ STE C-200",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441202373",
            "telephone_number": "216-512-0321",
            "fax_number": "216-370-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CARLTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "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 Oct 6, 2022; 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.