ACE SPORTS PSYCHIATRY LLC (NPI# 1316317191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316317191 |
| Entity Type | Organization |
| Organization Name | ACE SPORTS PSYCHIATRY LLC |
| Practice Address |
8 Brandywood Dr Pepper Pike OH 44124-5501 |
| Practice Telephone | 2167851009 |
| Mailing Telephone | 2167851009 |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |
| Authorized Official Name | DR. MAYUR PANDYA (DIRECTOR) |
| Authorized Official Telephone | 2167851009 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
34.008563 | OH | Ambulatory Health Care Facilities |
| Street Address |
8 BRANDYWOOD DR |
| City | PEPPER PIKE |
| State | OH |
| Zip Code | 44124-5501 |
| 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 |
| Find all providers in zip 44124 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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| 1598380453 | Courage To Heal Counseling LLC | Clinic/Center | 304 S Court St Ste A, Circleville, OH 43113-1604 | 2020-06-16 |
| 1477178846 | Small Behavioral Health Counseling | Clinic/Center | 1213 Coventry St, Akron, OH 44306-2229 | 2020-06-11 |
| 1265055693 | Sola Caritas | Clinic/Center | 2967 W 38th St, Cleveland, OH 44113-4803 | 2020-05-20 |
| 1417570946 | Flourish Counseling, LLC | Clinic/Center | 24757 Hawthorne Dr, Beachwood, OH 44122-2317 | 2020-05-19 |
| 1346869682 | 2020 Life Counseling LLC | Clinic/Center | 21724 Lorain Rd Ste 8, Fairview Park, OH 44126-3334 | 2020-04-15 |
| 1306407887 | Freedom Counseling, Coaching, and Consulting, LLC | Clinic/Center | 2174 Kelley Ln, Newark, OH 43055-8057 | 2019-06-25 |
| 1255997599 | Jana Bergfeld Lisw LLC | Clinic/Center | 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 | 2019-05-13 |
| 1861056921 | Mobile Physician Services Inc. | Clinic/Center | 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PEPPER PIKE |
| Zip Code | 44124 |
Please comment or provide details below to improve the information on ACE SPORTS PSYCHIATRY LLC.
| 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.