POSITIVE EDUCATION PROGRAM (NPI# 1528035631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528035631 |
| Entity Type | Organization |
| Organization Name | POSITIVE EDUCATION PROGRAM |
| Practice Address |
3100 Euclid Ave Cleveland OH 44115-2508 |
| Practice Telephone | 2163614400 |
| Practice Fax Number | 2163618600 |
| Mailing Telephone | 2163614400 |
| Mailing Fax Number | 2163618600 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FRANK A. FECSER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2163614400 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | Residential Treatment Facilities | ||
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3100 EUCLID AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295335057 | Alexis Bynoe | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-10-29 |
| 1245849504 | Angela Restifo | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-23 |
| 1649888306 | Hannah Andrews | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-20 |
| 1164040416 | Courtney Brugh | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-07-13 |
| 1780209346 | Britni Jenkins | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-06-10 |
| 1891321477 | Erika Wynn | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-03-16 |
| 1679109235 | Isaiah Mcqueen | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-03-16 |
| 1558995134 | Michael Phillips | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-02-24 |
| 1194359778 | Rian Hanadnalla | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-02-24 |
| 1114559663 | Colleen Cain | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2020-02-12 |
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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 | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1912311937 | Katina Nichols | Residential Treatment Facility, Emotionally Disturbed Children | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2014-06-18 |
| 1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
| 1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
| 1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
| 1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
| 1245262799 | Lutheran Homes Society, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2006-07-07 |
| 1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1184687030 | Oak Ridge Treatment Center Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 115 Private Road 977 County Road 44 North, Pedro, OH 45659 | 2006-04-11 |
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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.