DOMINIC SHULTIS (NPI# 1821515479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821515479 |
| Entity Type | Individual |
| Full Name | DOMINIC SHULTIS |
| Practice Address |
3540 Croton Ave Cleveland OH 44115 |
| Mailing Address |
3540 Croton Ave Cleveland OH 44115-3212 |
| Practice Telephone | 2162021017 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| 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) |
163256 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3540 CROTON AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770037343 | Brandy Marie Richards | Nurse Practitioner | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2016-08-11 |
| 1528554607 | Kecia M Dawson | Licensed Practical Nurse | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2018-07-02 |
| 1285138008 | Shannan Marie Geither | Licensed Practical Nurse | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2018-03-19 |
| 1770085565 | Emily Katharine Chou | Counselor | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2018-03-07 |
| 1568960953 | Kaitlin Rowann Sayler | Counselor | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2018-01-31 |
| 1437677341 | Beverly Collier | Counselor | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2017-08-31 |
| 1144747866 | Rhina M Finley | Social Worker | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2017-08-23 |
| 1982120077 | Rachel Jamilah Robinson | Counselor | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2017-08-21 |
| 1447776406 | Lindsey Anne Lambillotte | Counselor | 3540 Croton Ave, Cleveland, OH 44115-3212 | 2017-08-21 |
| 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 | 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 | ||||
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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.