SHAKER CLINIC, LLC (NPI# 1831209816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831209816 |
| Entity Type | Organization |
| Organization Name | SHAKER CLINIC, LLC |
| Practice Address |
20600 Chagrin Blvd Suite 620 Shaker Heights OH 44122-5327 |
| Mailing Address |
6000 Tower Circle Suite 1000 Franklin TN 37067 |
| Practice Telephone | 2167514762 |
| Practice Fax Number | 2167515894 |
| Mailing Telephone | 6158611000 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2018-09-25 |
| Authorized Official Name | CHRISTOPHER HOWARD (VP & TREASURER) |
| Authorized Official Telephone | 6158616000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0519 | OH | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437563129 | Shaker Clinic, LLC | Clinic/Center | 2419 E High Ave, New Philadelphia, OH 44663-3329 | 2014-06-20 |
| 1619372679 | Shaker Clinic, LLC | Clinic/Center | 880 Greenlawn Ave, Columbus, OH 43223-2616 | 2014-11-03 |
| 1568532620 | Shaker Clinic, LLC | Clinic/Center | 899 E Broad St, Columbus, OH 43205-1156 | 2006-11-08 |
| Street Address |
20600 CHAGRIN BLVD SUITE 620 |
| City | SHAKER HEIGHTS |
| State | OH |
| Zip Code | 44122-5327 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922087634 | Duane D. Culler | Social Worker | 20600 Chagrin Blvd, Suite 7500, Shaker Heights, OH 44122-5327 | 2006-01-11 |
| 1164057485 | Lauren N Harville | Case Manager/Care Coordinator | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2020-03-06 |
| 1083113310 | Pamela Theresa Cameron | Social Worker | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2018-02-01 |
| 1083130223 | Laura Vaytsman | Registered Nurse | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2017-08-18 |
| 1962943266 | Georgia Acevedo | Social Worker | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2017-03-20 |
| 1508306036 | Alyssa Dragolich | Social Worker | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2017-03-02 |
| 1902348741 | Elijah Michael Scott | Social Worker | 20600 Chagrin Blvd, Suite 900, Shaker Heights, OH 44122-5327 | 2016-11-10 |
| 1003363995 | Amanda Conley | Counselor | 20600 Chagrin Blvd, Shaker Heights, OH 44122-5327 | 2016-09-08 |
| 1689121048 | Safy | Foster Care Agency | 20600 Chagrin Blvd, Suite 900, Shaker Heights, OH 44122-5327 | 2016-09-02 |
| 1407303845 | Specialized Alternatives for Families & Youth | Case Management | 20600 Chagrin Blvd, Suite 900, Shaker Heights, OH 44122 | 2016-09-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | SHAKER HEIGHTS |
| Zip Code | 44122 |
Please comment or provide details below to improve the information on SHAKER CLINIC, LLC.
| 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.