Green Road Behavioral Health, INC.
Community/Behavioral Health in Beachwood, OH. Organization (NPI-2).
NPI number1750990537
StatusActive
Last updated in NPPESDec 12, 2025
Details
- NPI
- 1750990537
- Entity type
- Organization (NPI-2)
- Legal business name
- Green Road Behavioral Health, INC.
- Organization subpart
- No
- Enumeration date
- Jul 28, 2020
- Certification date
- Dec 12, 2025
- Last updated
- Dec 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Other names
- Green Road Behavioral Health (Doing Business As)
Practice location
23980 Chagrin Blvd Ste 107Beachwood, OH 44122-5542
Phone 216-795-5396 · Fax 216-795-5382
Mailing address
3295 Glencairn RdShaker Heights, OH 44122-3407
Phone 216-702-5542 · Fax 216-795-5382
Authorized official
Thomas Andrew Boyd
Owner/Psychologist
2167935396
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