Organization Active NPI

Cleveland Psychiatry Associates LLC

  • Psychiatry Physician
  • Brecksville, OH
National Provider Identifier
1982984944
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35082234 Issued in OH
Legal business name
CLEVELAND PSYCHIATRY ASSOCIATES LLC
Practice address
6909 Royalton Rd Ste 201
Brecksville, OH 44141-2478
Phone
(440) 526-0468
Fax
(440) 526-0454
NPI assigned
Aug 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Authorized official

Name
Dr. Syed Erfan Ahmed, M.D.NPI 1326023375
Title
Director
Phone
(440) 526-0468

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X 35082234 OH Primary

Addresses

Primary practice location

6909 Royalton Rd Ste 201
Brecksville, OH 44141-2478

Mailing address

6909 Royalton Rd Ste 201
Brecksville, OH 44141-2478
Phone (630) 995-9290

Other identifiers 1

IdentifierTypeStateIssuer
2567995MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111206000374 OH Part B Supplier - Clinic/Group Practice 4183899974 Receives reassigned benefits from 7 practitioners
Practice locations: Brecksville, OH

National Provider Directory

National Provider Directory

Locations

8227 Brecksville Rd
Ste 104
Brecksville, OH 44141
Phone (440) 526-0468

6909 Royalton Rd
Ste 201
Brecksville, OH 44141
Phone (440) 630-9426

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612915200000",
    "number": "1982984944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 201",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "630-995-9290",
            "fax_number": "773-337-9133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 ROYALTON RD STE 201",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412478",
            "telephone_number": "440-526-0468",
            "fax_number": "440-526-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEVELAND PSYCHIATRY ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-08",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "ERFAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "440-526-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35082234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2567995",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.