| Murtis Taylor Human Services System | |
|
13422 Kinsman Rd Cleveland OH 44120-4410 | |
| (216) 283-4400 | |
| Not Available |
| Full Name | Murtis Taylor Human Services System |
|---|---|
| Speciality | Clinic/Center |
| Location | 13422 Kinsman Rd, Cleveland, Ohio |
| Authorized Official Name and Position | Marqueta A Osborne (BILLING MANAGER) |
| Authorized Official Contact | 2162834400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Murtis Taylor Human Services System 13422 Kinsman Rd Cleveland OH 44120-4410 Ph: (216) 283-4400 | Murtis Taylor Human Services System 13422 Kinsman Rd Cleveland OH 44120-4410 Ph: (216) 283-4400 |
| NPI Number | 1629001920 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 1052218922 |
|---|---|
| Medicare Enrollment ID | O20031217001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629001920 | NPI | - | NPPES |
| 0959511 | Medicaid | OH | |
| 0333044 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 289 (Ohio) | Primary |
| Provider Name | Saroj Brar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487733366 PECOS PAC ID: 5890693311 Enrollment ID: I20031222000597 |
| Provider Name | Mary Harrison |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1629006721 PECOS PAC ID: 2769468123 Enrollment ID: I20040625001077 |
| Provider Name | Stuart Zetzer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275583114 PECOS PAC ID: 1759393432 Enrollment ID: I20060621000012 |
| Provider Name | Irene Shulga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528164480 PECOS PAC ID: 8921060559 Enrollment ID: I20071024000172 |
| Provider Name | Donna Kay Boyd Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467606178 PECOS PAC ID: 2769539097 Enrollment ID: I20090402000434 |
| Provider Name | Shari L Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043628399 PECOS PAC ID: 7517186364 Enrollment ID: I20140910001194 |
| Provider Name | Shadina Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598165128 PECOS PAC ID: 4284930686 Enrollment ID: I20160310002354 |
| Provider Name | Michael G Rhoades |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881941425 PECOS PAC ID: 2163711540 Enrollment ID: I20160525002281 |
| Provider Name | Linda Elliott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033483375 PECOS PAC ID: 1153607304 Enrollment ID: I20170424002272 |
| Provider Name | Lakeisha T Madden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992232938 PECOS PAC ID: 1850656554 Enrollment ID: I20180530001759 |
| Provider Name | Mafon Fomujang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013442102 PECOS PAC ID: 8224382304 Enrollment ID: I20181107002813 |
| Provider Name | Denise Crawford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649630153 PECOS PAC ID: 5193066215 Enrollment ID: I20190417002089 |
| Provider Name | Wendi Diaz-morales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649736984 PECOS PAC ID: 9638583636 Enrollment ID: I20210203001406 |
| Provider Name | La'risha Jeter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962911925 PECOS PAC ID: 2163839820 Enrollment ID: I20210324001324 |
Lutheran Hospital Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1730 W 25th St, Cleveland, OH 44113 Phone: 216-696-4300 | |
Knight Counseling Clinic, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 25901 Emery Rd, #108, Cleveland, OH 44128 Phone: 440-429-3027 Fax: 216-291-0681 | |
New Directions, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30800 Chagrin Blvd, Cleveland, OH 44124 Phone: 216-591-0324 | |
Northeast Reintegration Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2675 E 30th St, Cleveland, OH 44115 Phone: 216-771-6460 Fax: 216-623-0992 | |
Eldercare Services Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11890 Fairhill Rd, Cleveland, OH 44120 Phone: 216-791-8000 Fax: 216-373-1816 | |
University Urologists Of Cleveland Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11100 Euclid Ave, Cleveland, OH 44106 Phone: 216-844-1900 | |
Metrohealth Professional Group, Metrohealth Medical Ctr Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2500 Metrohealth Drive, Cleveland, OH 44109 Phone: 216-957-2442 Fax: 216-957-2404 |