Fairmount Professional Services, Inc

LBN: Fairmount Professional Services, Inc
Fairmount Professional Services, Inc is an health care organization with primary practice located at 2490 Lee Blvd Suite 314, Cleveland Heights OH 44118-1268. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Fairmount Professional Services, Inc can be contacted via phone (216) 321-6624, or through Allerhand, Melvin Eugene via phone (216) 321-6624.

Contact Information

Primary practice address
2490 Lee Blvd Suite 314 Cleveland Heights OH 44118-1268
Phone: (216) 321-6624
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Allerhand, Melvin Eugene PHD
Phone: (216) 321-6624

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 137 Ohio

Profile Details

NPI number 1215264056
LBN Legal business name Fairmount Professional Services, Inc
DBA Doing business as
Authorized official Allerhand, Melvin Eugene PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 16th, 2009
Last updated Nov 16th, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215264056 NPPES
Ohio MEDICAID 400935

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