CLEMENTINE PSYCHIATRY NPI 1285590117

NPI Information

  • NPI: 1285590117
  • Provider Name: CLEMENTINE PSYCHIATRY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 27700 FAIRMOUNT BLVD
    CLEVELAND, OH
    ZIP 44124
  • Phone: (216) 208-5884

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NPI Details

CLEMENTINE PSYCHIATRY is a psychiatric/mental health nurse practitioner in Cleveland, OH. CLEMENTINE PSYCHIATRY NPI is 1285590117. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

27700 FAIRMOUNT BLVD
CLEVELAND, OH
ZIP 44124-612
Phone: (216) 208-5884
Fax: (216) 250-9611

The provider's authorized official is Nicole Neale .
The authorized official title is Owner and has the following contact phone number (216) 208-5884.

The enumeration date for this NPI number is 1/5/2026 and was last updated on 1/5/2026.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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: 11/21/2025

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