CHARLES FRANK FAY JR.


Address: 1400 E 55th St, Cleveland, OH 44103-1304
Phone: 2163916672

CHARLES FRANK FAY JR. (NPI# 1063043446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063043446
Entity Type Individual
Full Name CHARLES FRANK FAY JR.
Practice Address 1400 E 55th St
Cleveland
OH 44103-1304
Mailing Address 1545 W 25th St Apt 204
Cleveland
OH 44113-3164
Practice Telephone 2163916672
Mailing Telephone 2163031482
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 175T00000X Peer Specialist Other Service Providers

Other Providers CHARLES FAY

NPI Name Taxonomy Address Enumeration
1417931940 Charles Phillip Fay Preventive Medicine Psc 80 10502, Apo Ap 96367-0001, Kadena Ab, OKINAWA 96367 2005-11-29

Office Location

Street Address 1400 E 55TH ST
City CLEVELAND
State OH
Zip Code 44103-1304

Providers in the same location

NPI Name Taxonomy Address Enumeration
1699301903 Deon Bushner Counselor 1400 E 55th St, Cleveland, OH 44103-1304 2020-03-18
1831717560 Jessica Macphee Peer Specialist 1400 E 55th St, Cleveland, OH 44103-1304 2020-07-09
1699393207 Kimberly Genita Morgan Social Worker 1400 E 55th St, Cleveland, OH 44103-1304 2020-07-09
1174143945 Judith Owens Social Worker 1400 E 55th St, Cleveland, OH 44103-1304 2020-04-22
1821618828 Marcus Laray Cannon Peer Specialist 1400 E 55th St, Cleveland, OH 44103-1304 2020-04-20
1932732013 Monica Mcfarland Peer Specialist 1400 E 55th St, Cleveland, OH 44103-1304 2020-02-18
1891327359 Geneva Anderson Counselor 1400 E 55th St, Cleveland, OH 44103-1304 2020-02-12
1508497249 Sara A Brown Social Worker 1400 E 55th St, Cleveland, OH 44103-1304 2020-01-31
1992336150 Alexis Renee Denny Peer Specialist 1400 E 55th St, Cleveland, OH 44103-1304 2020-01-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528619921 Cleveland Urgent Care LLC Clinic/Center 1956 E 79th Street, Cleveland, OH 44103 2019-09-26
1598325201 Eliza Bryant Village Day Training, Developmentally Disabled Services 7201 Wade Park Ave., Cleaveland, OH 44103 2019-06-14
1700357829 Lovel Henderson Jr Clinic/Center 6600 Lexington Ave, Cleveland, OH 44103 2018-12-16
1508340472 Melody J Williams Adult Companion 7820 Euclid Ave, Cleveland, OH 44103 2018-09-18
1083108906 University Hospitals Cleveland Medical Center Pharmacy 5805 Euclid Ave, Cleveland, OH 44103 2018-06-15
1336637453 Heather Tully Registered Nurse 6700 Euclid Ave, Cleveland, OH 44103 2018-04-24
1033611355 Circle Health Services Clinic/Center 4400 Euclid Avenue, Cleveland, OH 44103 2018-03-02
1922524032 Carolyn Nicholas Counselor 1834 E 55th Street, Cleveland, OH 44103 2017-08-21
1619493764 Horizon Educational Services Inc Local Education Agency (LEA) 6000 South Marginal, Cleveland, OH 44103 2017-08-21
1548783426 Albert Pride Jr. Counselor 1804 East 55th Street, Cleveland, OH 44103 2017-07-21
Find all providers in zip 44103

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1396345989 Kyle Johnston Peer Specialist 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 2020-11-01
1972101012 Cindy Ann Kozlik Peer Specialist 600 W.superior Ave, Cleveland, OH 44113 2020-10-12
1053918565 Tina Louise Neal Peer Specialist 3637 Green Rd, Cleveland, OH 44122-5779 2020-10-07
1326645805 Kristen Krajewski Peer Specialist 3105 Woodbridge Ave, Cleveland, OH 44109-2175 2020-10-07
1538774153 Sarah Louise Woodside Peer Specialist 4478 S Hills Dr, Cleveland, OH 44109-4479 2020-09-10
1003421819 Loretta Wilson Peer Specialist 3018 E 128th St, Cleveland, OH 44120-3003 2020-09-09
1558975128 Jessica Ann Bair Peer Specialist 4606 Gifford Ave, Cleveland, OH 44144-2944 2020-09-01
1407460280 Shiyla Ann Nix Peer Specialist 2230 E 82nd St, Cleveland, OH 44103-5008 2020-08-31
1538772611 Ross Hilaszek Peer Specialist 2001 Willowdale Ave, Cleveland, OH 44109-2838 2020-08-28
1760008254 Sober First, LLC Peer Specialist 4415 Euclid Ave Ste 204, Cleveland, OH 44103-3758 2020-06-19
Find all providers in CLEVELAND

Competitor

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City CLEVELAND
Zip Code 44103

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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