MARY CELESTINE HALL MENNES (NPI# 1235326992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235326992 |
| Entity Type | Individual |
| Full Name | MARY CELESTINE HALL MENNES |
| Other Name | MARCIE HALL-MENNES |
| Credential | MD |
| Practice Address |
11100 Euclid Ave Cleveland OH 44106-1716 |
| Mailing Address |
8055 Mayfield Rd Ste 105 Chesterland OH 44026-2447 |
| Practice Telephone | 2162866260 |
| Mailing Telephone | 4402148027 |
| Mailing Fax Number | 2162018173 |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35.090550 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1024582290001 | 05 | |
| OH | 2770943 | 05 | |
| OH | WELLCARE MEDICAID | 421799 | 01 |
| OH | UNISON | 000000225208 | 01 |
| OH | ANTHEM | 000000538617 | 01 |
| OH | AETNA | 9731098 | 01 |
| Street Address |
11100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44106-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801899927 | Joel H. Elconin | Radiology | 11100 Euclid Ave, Ireland/seidman Radiation Oncology, Cleveland, OH 44106 | 2005-05-23 |
| 1386245207 | Dalal Hamad A Alsaggabi | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-06 |
| 1922609809 | Melanie Wolf | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-11-05 |
| 1093313918 | Aryn Rose Pecoraro | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-10-13 |
| 1366058331 | Harun Abukar | Registered Nurse | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1205442290 | Jessica Regan | Dietitian, Registered | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-16 |
| 1740895960 | Sara Lyn Stefano | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-14 |
| 1063026052 | Meredith Barker | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-09-07 |
| 1124631114 | Luis Augusto Palma Dallan | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-28 |
| 1023621216 | Stephanie Casto | Nurse Practitioner | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347706 | Adeeb Oweidat | Anesthesiology | 1999 Circle Drive Centric, Apartment 417, Cleveland, OH 44106 | 2020-08-18 |
| 1104434240 | Bradly Miner | Student in an Organized Health Care Education/Training Program | Health Education Campus, 9501 Euclid Ave, Cleveland, OH 44106 | 2020-07-15 |
| 1306466974 | Ho Jun Lee | Student in an Organized Health Care Education/Training Program | 11100 Euclid Ave University Hospitals Cleveland Medical, Cleveland, OH 44106 | 2020-04-23 |
| 1528687837 | Shaleeka Cornelius | Student in an Organized Health Care Education/Training Program | 11100 Euclid Avenue Han 5042, University Hospitals Cleveland Medical Center, Cleveland, OH 44106 | 2020-04-16 |
| 1598393175 | Mikdat Ulas | Student in an Organized Health Care Education/Training Program | 111000 Euclid Avenue, Cleveland, OH 44106 | 2020-03-30 |
| 1790335651 | Michelle Clark | Home Health Aide | 1794 E 87th St, Cleveland, OH 44106 | 2019-09-12 |
| 1881246783 | Oziel Valdez Sanchez | Student in an Organized Health Care Education/Training Program | 11900 Euclid Ave, Cleveland, OH 44106 | 2019-07-10 |
| 1487216842 | Betina Griens Porto | Dentist | 9601 Chester Avenue, Case Western Reserve School of Dental Medicine, Cleveland, OH 44106 | 2019-07-05 |
| 1407417140 | Rebecca Petts | Dentist | 9601 Chester Ave, Cleveland, OH 44106 | 2019-06-24 |
| 1023677259 | Moeen Al Weshah | Student in an Organized Health Care Education/Training Program | 9601 Chester Ave # 239j3, Cleveland, OH 44106 | 2019-06-11 |
| Find all providers in zip 44106 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306456322 | Basim Mikhail | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2020-08-04 |
| 1376997643 | Emily Nhu Cao | Psychiatry & Neurology | 11100 Euclid Ave, Cleveland, OH 44106-1716 | 2016-04-22 |
| 1457788960 | Florence Kimbo M.d., LLC | Psychiatry & Neurology | 18660 Bagley Rd Bldg 1, Suite 404, Cleveland, OH 44130-3483 | 2013-09-28 |
| 1396087953 | Shivnaveen Bains | Psychiatry & Neurology | 2500 Metrohealth Dr, Cleveland, OH 44109-1900 | 2013-03-21 |
| 1407141559 | Priya Vaidya Shrestha | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2011-06-16 |
| 1275846669 | Stephanie Mae Pope | Psychiatry & Neurology | 11100 Euclid Ave, University Hospitals Case Medical Center, Cleveland, OH 44106-1716 | 2010-07-14 |
| 1760707103 | Jason Vincent Lambrese | Psychiatry & Neurology | 9500 Euclid Ave # P57, Cleveland, OH 44195-0002 | 2010-03-29 |
| 1194954826 | Imran M Shakir | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2009-07-01 |
| 1891973608 | Mackenzie Varkula | Psychiatry & Neurology | 18101 Lorain Ave, Ppsy, Cleveland, OH 44111-5612 | 2008-02-04 |
| 1619170990 | Solomon G Zaraa | Psychiatry & Neurology | 10524 Euclid Ave, Cleveland, OH 44106-2205 | 2007-06-06 |
| Find all providers in CLEVELAND | ||||
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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.