FAIRMOUNT MENTAL WELLNESS LLC (NPI# 1366928863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366928863 |
| Entity Type | Organization |
| Organization Name | FAIRMOUNT MENTAL WELLNESS LLC |
| Practice Address |
2460 Fairmount Blvd Ste 317 Cleveland Heights OH 44106-3164 |
| Practice Telephone | 2167142910 |
| Mailing Telephone | 2167142910 |
| Enumeration Date | 2018-07-17 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | MR. RICHARD DEMPSEY (THERAPIST/OWNER) |
| Authorized Official Telephone | 2167142910 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
E.1700425 | OH | Ambulatory Health Care Facilities |
| Street Address |
2460 FAIRMOUNT BLVD STE 317 |
| City | CLEVELAND HEIGHTS |
| State | OH |
| Zip Code | 44106-3164 |
| 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 | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
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| 1922610898 | Alyssa Banks | Clinic/Center | 915 N Erie St, Toledo, OH 43604-1605 | 2020-08-20 |
| 1154931574 | Compassionate Connections for Children LLC | Clinic/Center | 7060 Copperglow Ct, Cincinnati, OH 45244-3649 | 2020-08-01 |
| 1568085876 | Laura Irene Davis | Clinic/Center | 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068-3448 | 2020-05-20 |
| 1407481021 | Counseling On Purpose, LLC | Clinic/Center | 1350 5th Ave Ste 310, Youngstown, OH 44504-1765 | 2020-03-04 |
| 1639710361 | Soaring On Success, LLC | Clinic/Center | 2146 N 13th St, Toledo, OH 43620-1909 | 2019-10-03 |
| 1891286548 | Robin's House | Clinic/Center | 326 Bierce Ave, Dayton, OH 45403-2657 | 2018-05-29 |
| 1558869206 | Pathways Behavioral Healthcare, Inc. | Clinic/Center | 333 S Main St Ste 105, Akron, OH 44308-1210 | 2018-01-29 |
| 1508379314 | Trumbull County Children Services | Clinic/Center | 2282 Reeves Rd Ne, Warren, OH 44483-4300 | 2017-11-15 |
| 1306229612 | Lettvin Psychiatric and Consulting Services, LLC | Clinic/Center | 76 E. Second Street, Chillicothe, OH 45601 | 2015-07-06 |
| Find all providers with the same taxonomy | ||||
| City | CLEVELAND HEIGHTS |
| Zip Code | 44106 |
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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.