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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| 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 |
| Street Address |
1400 E 55TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44103-1304 |
| 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 |
| 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 Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| 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] |
| 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 | ||||
Please comment or provide details below to improve the information on CHARLES FRANK FAY JR..
| 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.