ELEANOR J GOTTESMAN MD MPA NPI 1588672265

NPI Information

NPI: 1588672265
Provider Name: ELEANOR J GOTTESMAN, MD, MPA
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
2816 E 116TH ST
METROHEALTH BUCKEYE HEALTH CENTER
CLEVELAND, OH
ZIP 44120
Phone: (216) 957-4000
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Eleanor J Gottesman, MD, MPA is a child and adolescent psychiatry psychiatry neurology in Cleveland, OH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. Eleanor J Gottesman, MD, MPA NPI is 1588672265. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2816 E 116TH ST
METROHEALTH BUCKEYE HEALTH CENTER
CLEVELAND, OH
ZIP 44120-111
Phone: (216) 957-4000

The NPI 1588672265 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 10/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	35051927	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F55526	MEDICARE UPIN	OHIO
2	GO7297091	MEDICARE ID-TYPE UNSPECIFIED	OHIO
3	0826888	MEDICAID	OHIO
4	3034625100	OTHER	OHIO	BWC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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