Organization · NPI-2
Upstar Mental Health Services LLC
Clinic/Center, Mental Health (Including Community Mental Health Center) · Mayfield Heights, OH
NPI number1407537871
StatusActive
Last updated in NPPESFeb 19, 2024
Details
- NPI
- 1407537871
- Entity type
- Organization (NPI-2)
- Legal business name
- Upstar Mental Health Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 28, 2023
- Certification date
- Feb 19, 2024
- Last updated
- Feb 19, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – | |
| 385H00000X | Respite Care | – | – |
Other names
- Upstar Mental Health Services (Former Legal Business Name)
Practice location
5813 Mayfield Rd Ste 203Mayfield Heights, OH 44124-2937
Phone 216-401-6564
Mailing address
5813 Mayfield Rd Ste 203Mayfield Heights, OH 44124-2937
Phone 216-401-6564
Authorized official
Yahaira Mason
Ceo
2164016564
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