NICOLE TAYLOR DIDOMENICO (NPI# 1558970095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558970095 |
| Entity Type | Individual |
| Full Name | NICOLE TAYLOR DIDOMENICO |
| Practice Address |
30800 Chagrin Blvd Pepper Pike OH 44124-5925 |
| Practice Telephone | 2165910324 |
| Mailing Telephone | 2165910324 |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2020-07-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2877463 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164978193 | Nicole Didomenico | Speech-Language Pathologist | 3935 Sunnyside Dr, A, Rockingham, VA 22801-2328 | 2016-08-30 |
| Street Address |
30800 CHAGRIN BLVD |
| City | PEPPER PIKE |
| State | OH |
| Zip Code | 44124-5925 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992302780 | Taylor Cathleen Castle | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-10-05 |
| 1366056335 | Rebecca Hauserman | Social Worker | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-09-07 |
| 1982217816 | Kyle James Huff | Counselor | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-08-29 |
| 1528676947 | James Michael Cato | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-07-22 |
| 1477178655 | Lauren Elyse Walters | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-06-12 |
| 1710508890 | Chantal Cierra Noble | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-30 |
| 1003436825 | Clotilda J Njovu | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-22 |
| 1245868132 | Tamika La'tia Hunter | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-03-28 |
| 1184254450 | Carolyn Anne Blattler | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-24 |
| 1649800285 | Leah Patricia Marzilli | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-23 |
| Find all providers in the same location | ||||
| 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 | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659445153 | Jewish Family Service Association | Community/Behavioral Health | 29125 Chagrin Blvd., Pepper Pike, OH 44122-4622 | 2006-11-17 |
| 1093816209 | Beech Brook | Community/Behavioral Health | 3737 Lander Road, Pepper Pike, OH 44124 | 2006-09-26 |
| 1992302780 | Taylor Cathleen Castle | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-10-05 |
| 1528676947 | James Michael Cato | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-07-22 |
| 1477178655 | Lauren Elyse Walters | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-06-12 |
| 1710508890 | Chantal Cierra Noble | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-30 |
| 1003436825 | Clotilda J Njovu | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-04-22 |
| 1245868132 | Tamika La'tia Hunter | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-03-28 |
| 1184254450 | Carolyn Anne Blattler | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-24 |
| 1649800285 | Leah Patricia Marzilli | Community/Behavioral Health | 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | 2020-01-23 |
| Find all providers in PEPPER PIKE | ||||
| City | PEPPER PIKE |
| Zip Code | 44124 |
Please comment or provide details below to improve the information on NICOLE TAYLOR DIDOMENICO.
| 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.