STEVEN E WALLACE


Address: 30800 Chagrin Blvd, Cleveland, OH 44124-5925
Phone: 2165910324

STEVEN E WALLACE (NPI# 1073029864) 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) 1073029864
Entity Type Individual
Full Name STEVEN E WALLACE
Credential CDCA
Practice Address 30800 Chagrin Blvd
Cleveland
OH 44124-5925
Practice Telephone 2165910324
Practice Fax Number 2165911243
Mailing Telephone 2165910324
Mailing Fax Number 2165911243
Enumeration Date 2017-12-16
Last Update Date 2017-12-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health CDCA.162346 OH Agencies

Other Provider Identifier

State Issuer Identifier Type Code
OH 2374229 05

Other Providers STEVEN WALLACE

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1649779950 Steven Mark Wallace Massage Therapist 1001 W. Oak St. Bldg C. Ste. 210, Bozeman, MT 59715 2018-02-02
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1851713952 Steven Gregory Wallace Jr. Physician Assistant 511 W Alexander St, Plant City, FL 33563-7116 2014-01-09
1457515587 Steven Earl Wallace Specialist/Technologist, Other 1065 Bucks Lake Rd, Quincy, CA 95971-9507 2008-07-17
1114986551 Steven F. Wallace Pediatrics 4545 Cordata Pkwy, Bellingham, WA 98226-7123 2006-03-23

Office Location

Street Address 30800 CHAGRIN BLVD
City CLEVELAND
State OH
Zip Code 44124-5925

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649298613 Melissa K Lammi Counselor 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2006-07-18
1922612548 Tiffany Delila Mims Social Worker 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2020-09-01
1588219190 Colin James Clegg Counselor 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2019-08-09
1376001040 Andrea Elaine Parra Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2019-03-12
1154889541 Donna Lee Walter-quayle Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2019-03-05
1720546054 Kaylee Ann Boney Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2019-03-05
1578031050 Dwight Phinizee II Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2018-11-02
1760976625 Charles Jubell Counselor 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2018-06-14
1124547302 Tymira Angelique Stenson Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124-5925 2017-09-19
1467971911 Kernesha L Greene Community/Behavioral Health 30800 Chagrin Blvd, Cleveland, OH 44124 2017-09-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104470509 Marian Rae Barton Physician Assistant 6092 Mayfield Rd, Mayfield Heights, OH 44124 2019-07-25
1831669860 Tameka D. Weaver Home Health Aide 1408 Golden Gate Blvd, Mayfield Hts, OH 44124 2018-12-03
1508371238 Jamila Shafawn Hardy Counselor 1320 Washington Blvd, Cleveland, OH 44124 2017-12-04
1134664899 Sergio Watson Licensed Practical Nurse 1131 Irene Rd, Lyndhurst, OH 44124 2017-01-04
1164894424 Carrie Lynn Rodick Registered Nurse 1212 Blanchester, Lyndhurst, OH 44124 2015-10-27
1205205804 Mary Rose Moore Nurse Practitioner 1443 Richmond Road, Lyndhurst, OH 44124 2015-09-24
1154717551 Hongfei Di Family Medicine 5187 Mayfield Rd Ste 102, Lyndhurst, OH 44124 2015-04-13
1558753376 Taj Amjad Khan Pediatrics 32810 Creekside Drive, Pepper Pike, OH 44124 2015-03-03
1902297195 Marcellus Gliha Hearing Instrument Specialist 1438 S.o.m. Center Rd, #101, Mayfield Heights, OH 44124 2015-02-10
1194122051 Doug Blecher Counselor 5512 Kilbourne Dr, Cleveland, OH 44124 2014-11-20
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326654740 Justin's Love Home Health Agency Community/Behavioral Health 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 2020-09-21
1063024008 To Attain Healing LLC Community/Behavioral Health 17325 Euclid Ave Ste 3060, Cleveland, OH 44112-1256 2020-08-20
1740806751 One Child Every Chance Foundation LLC Community/Behavioral Health 5909 Cable Ave, Cleveland, OH 44127-1745 2020-06-25
1649899048 Amyra Support Services, LLC Community/Behavioral Health 11811 Shaker Blvd Ste 113d, Cleveland, OH 44120-1927 2020-04-15
1447886973 Infinity Hearts LLC Community/Behavioral Health 17325 Euclid Ave Ste 4133, Cleveland, OH 44112-1262 2020-03-16
1184255549 Peter James Development & Independent Living, Inc. Community/Behavioral Health 17325 Euclid Ave Ste 4103, Cleveland, OH 44112-1262 2020-02-03
1255970679 Heart To Heart Health and Wellness Community/Behavioral Health 17325 Euclid Ave Ste 2145, Cleveland, OH 44112-1247 2020-01-02
1164068540 First and Twenty Five LLC Community/Behavioral Health 12305 Arlington Ave, Cleveland, OH 44108-2359 2019-11-21
1124580303 Lighthouse Community Care Inc Community/Behavioral Health 4500 Lee Rd Ste 231, Cleveland, OH 44128-2959 2019-04-04
1467916809 Inter-cept Consultant Services, LLC Community/Behavioral Health 13303 Beachwood Ave, Cleveland, OH 44105-6415 2019-01-30
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Competitor

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City CLEVELAND
Zip Code 44124

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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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