MR. DOUGLAS DEROBERTS (NPI# 1457736134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457736134 |
| Entity Type | Individual |
| Full Name | MR. DOUGLAS DEROBERTS |
| Credential | CDCA |
| Practice Address |
1515 W 29th St Cleveland OH 44113-2906 |
| Practice Telephone | 2166244334 |
| Mailing Telephone | 2166244334 |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2015-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
060103 | OH | Behavioral Health & Social Service Providers |
| Street Address |
1515 W 29TH ST |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44113-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053487140 | The Covenant Adolescent Chemical Dependency Treatment & Prevention Cen | Community/Behavioral Health | 1515 W 29th St, Cleveland, OH 44113-2906 | 2006-11-28 |
| 1265066278 | Beth Falacienski | Social Worker | 1515 W 29th St, Cleveland, OH 44113-2906 | 2020-02-28 |
| 1902371768 | Wanda Rodriguez | Case Manager/Care Coordinator | 1515 W 29th St, Cleveland, OH 44113-2906 | 2018-10-09 |
| 1417432469 | Jonathan Clemente | Case Manager/Care Coordinator | 1515 W 29th St, Cleveland, OH 44113-2906 | 2018-09-26 |
| 1679053854 | Katherine Elizabeth Lewis | Social Worker | 1515 W 29th St, Cleveland, OH 44113-2906 | 2018-08-17 |
| 1295277895 | Karen Branscomb | Social Worker | 1515 W 29th St, Cleveland, OH 44113-2906 | 2016-11-14 |
| 1235514993 | Daniel Perez Sr. | Counselor | 1515 W 29th St, Cleveland, OH 44113-2906 | 2015-07-23 |
| 1669857314 | Harry Quinones | Counselor | 1515 W 29th St, Cleveland, OH 44113-2906 | 2015-07-23 |
| 1467837120 | Marlene Aponte | Counselor | 1515 W 29th St, Cleveland, OH 44113-2906 | 2015-07-23 |
| 1770968539 | Mayra Perez | Case Manager/Care Coordinator | 1515 W 29th St, Cleveland, OH 44113-2906 | 2015-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617867 | The Music School Settlement | Point of Service | 1260 Detroit Ave, Cleveland, OH 44113 | 2020-10-22 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1023596343 | Jennifer Lauren Lee Miller | Nurse Practitioner | 1133 W 9th St Apt 312, Cleveland, OH 44113 | 2018-07-30 |
| 1912437740 | Uche V Okaro-anoliefo | Social Worker | 1276 W 3rd Street, Suite 210, Cleveland, OH 44113 | 2017-06-14 |
| 1043766793 | Keara Mullen | Counselor | 3500 Carnegie, Cleveland, OH 44113 | 2016-08-31 |
| 1538518956 | Michele Buddner | Licensed Practical Nurse | 1320 Washington Avenue, Cleveland, OH 44113 | 2016-06-07 |
| 1902206600 | Nilda Daleccio | Counselor | 1515 West 15th Street, Cleveland, OH 44113 | 2014-08-29 |
| 1346649068 | Arielle Mariah Dean | Massage Therapist | 1370 Ontario St Suite #400, Cleveland, OH 44113 | 2014-08-19 |
| 1568882967 | Lynette Evans | Speech-Language Pathologist | 1701 Castle Ave., Luis Munoz Marin School, Cleveland, OH 44113 | 2014-04-24 |
| 1841610433 | Sherdina Williams | Registered Nurse | 4605 Woodbine Avenure, Garrett Morgan School, Cleveland, OH 44113 | 2014-04-22 |
| Find all providers in zip 44113 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MR. DOUGLAS DEROBERTS.
| 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.