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MALCOLM X MOSELY PRS QMHS CMS NPI 1558028647


NPI Information

NPI: 1558028647
Provider Name: MALCOLM X MOSELY, PRS QMHS CMS
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3500 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115
Phone: (440) 260-8300
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Malcolm X Mosely, PRS QMHS CMS is a peer specialist in Cleveland, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Malcolm X Mosely, PRS QMHS CMS NPI is 1558028647. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3500 CARNEGIE AVE
CLEVELAND, OH
ZIP 44115-641
Phone: (440) 260-8300

The enumeration date for this NPI number is 11/23/2021 and was last updated on 11/23/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171M00000XCase Manager/Care CoordinatorOHIONo
2172V00000XCommunity Health WorkerOHIONo
3175T00000XPeer SpecialistAPS.001014OHIOYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.