KC CENTER FOR HEALTH AND WELLNESS, LLC – Psychiatric/Mental Health Nurse Practitioner, NPI 1669989703
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KC CENTER FOR HEALTH AND WELLNESS, LLC
Shaker Boulevard, Shaker Square, Buckeye, Cleveland, Cuyahoga County, Ohio, 44120, United States
CLEVELAND, OH 441201927
Phone: (216) 242-2990
Fax: (216) 455-5436
Type: Location
3793 GREEN RD
BEACHWOOD, OH 441225705
Phone: (216) 242-2990
Fax: (216) 455-5436
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-03-28
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 44120)
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