ST VINCENT CHARITY MEDICAL CENTER (NPI# 1154395820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154395820 |
| Entity Type | Organization |
| Organization Name | ST VINCENT CHARITY MEDICAL CENTER |
| Other Organization Name | ST VINCENT CHARITY MEDICAL CENTER |
| Practice Address |
2351 E 22nd St Cleveland OH 44115-3111 |
| Mailing Address |
6935 Treeline Dr Suite J Brecksville OH 44141-3393 |
| Practice Telephone | 2168616200 |
| Practice Fax Number | 4407463405 |
| Mailing Telephone | 4407463401 |
| Mailing Fax Number | 4407463405 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2010-05-05 |
| Authorized Official Name | MR. PATRICK MCMAHON (SENIOR VP & CFO) |
| Authorized Official Telephone | 2168754602 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST. VINCENT CHARITY MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | Hospital Units |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICAL MUTUAL OF OHIO | 341893452006 | 01 |
| CHAMPUS | 341893452002 | 01 |
| Other Name | Type Code |
|---|---|
| St Vincent Charity Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053682690 | St Vincent Charity Medical Center | General Acute Care Hospital | 1700 E 13th St Apt 21x, Cleveland, OH 44114-3223 | 2012-01-12 |
| 1962566844 | St Vincent Charity Medical Center | Pharmacy | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-12-21 |
| 1083637912 | St Vincent Charity Medical Center | Rehabilitation, Substance Use Disorder Unit | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-07-25 |
| 1710951801 | St Vincent Charity Medical Center | General Acute Care Hospital | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2006-02-15 |
| 1942274840 | St Vincent Charity Medical Center | Clinic/Center | 2475 E 22nd St, Suite 310, Cleveland, OH 44115-3221 | 2006-02-15 |
| Street Address |
2351 E 22ND ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-3111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528051661 | Cynthia L Brown | Internal Medicine | 2351 E 22nd St, St Vincent Charity Hospital Attn: Gma Consultants, Cleveland, OH 44115-3111 | 2005-08-24 |
| 1679186894 | Francisco J Somoza-cano | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-27 |
| 1992317879 | Patil Sarkis Balozian | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-20 |
| 1205448800 | Faris Hammad | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-17 |
| 1043820525 | Mohamad H E Alsaed | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-08-09 |
| 1245849892 | Mohammad Haidous | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-29 |
| 1982212593 | David Perse Md, LLC | Surgery | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1659989275 | Jeremy Perse, Dpm, LLC | Podiatrist | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-20 |
| 1356969281 | Krista Michelle Wong | Internal Medicine | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-07-07 |
| 1538785233 | Sanjul Prakash Patel | Student in an Organized Health Care Education/Training Program | 2351 E 22nd St, Cleveland, OH 44115-3111 | 2020-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023630761 | Winter Spring Health Services | Psychiatric Unit | 13509 Highlandview Ave, Cleveland, OH 44135-1622 | 2020-05-16 |
| 1053944967 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 5805 Euclid Ave Ste 100, Cleveland, OH 44103-3715 | 2020-02-19 |
| 1306142062 | Phc-cleveland Inc | Psychiatric Unit | 901 E Sunflower Rd, Cleveland, MS 38732-2833 | 2011-01-28 |
| 1669559811 | University Hospitals Cleveland Medical Center | Psychiatric Unit | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2006-11-01 |
| 1376579532 | Southwest General Health Center | Psychiatric Unit | 18697 Bagley Rd, Cleveland, OH 44130-3417 | 2006-06-22 |
| 1003854951 | Lutheran Hospital | Psychiatric Unit | 1730 W 25th St, Cleveland, OH 44113-3108 | 2006-06-03 |
| 1881631471 | Metrohealth System | Psychiatric Unit | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2006-06-01 |
| 1245283050 | Cleveland Clinic Health System - East Region | Psychiatric Unit | 13951 Terrace Rd, Cleveland, OH 44112-4308 | 2006-05-19 |
| 1831160753 | Cleveland Tennessee Hospital Company LLC | Psychiatric Unit | 2800 Westside Dr Nw, Cleveland, TN 37312-3501 | 2006-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447814942 | Bluestone Child and Adolescent Psychiatric Hospital | Psychiatric Unit | 2575 S. Belvoir Blvd., University Heights, OH 44118 | 2019-04-30 |
| 1093256059 | Usaf | Psychiatric Unit | 418 Shrewsbury St, Holland, OH 43528-8568 | 2017-03-10 |
| 1235493990 | Mifflin Youth Group | Psychiatric Unit | 1688 Schrock Rd, Columbus, OH 43229-1500 | 2012-06-27 |
| 1851547392 | Ipg Rs LLC | Psychiatric Unit | 17872 Lincoln Hwy, Middle Point, OH 45863-9700 | 2008-08-15 |
| 1649441817 | Western Ohio Psychiatric Institute, LLC | Psychiatric Unit | 601 Edwin Moses Boulevard, Dayton, OH 45408 | 2008-03-17 |
| 1073568994 | Windsor Hospital | Psychiatric Unit | 115 E Summit St, Chagrin Falls, OH 44022-2711 | 2006-05-23 |
| 1457314502 | Medical University of Ohio At Toledo | Psychiatric Unit | 3000 Arlington Ave # Ms 1166, Toledo, OH 43614-2595 | 2006-04-10 |
| 1598765000 | Defiance Hospital Inc. | Psychiatric Unit | 1200 Ralston Ave, Defiance, OH 43512-1396 | 2005-07-26 |
| 1124513866 | Markella Whetzel | Psychiatric Unit | 22001 Fairmount Blvd, Shaker Heights, OH 44118-4897 | 2018-06-26 |
| 1144742537 | Community Mercy Health Partners | Psychiatric Unit | 904 Scioto St, Urbana, OH 43078 | 2017-07-07 |
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| 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.