| Nirvana Health & Wellness Inc | |
|
24700 Center Ridge Rd Ste 230 Westlake OH 44145-5682 | |
| (440) 872-6548 | |
| (440) 360-7669 |
| Full Name | Nirvana Health & Wellness Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 24700 Center Ridge Rd Ste 230, Westlake, Ohio |
| Authorized Official Name and Position | Adityanjee Adityanjee (PRESIDENT/CEO) |
| Authorized Official Contact | 4408726548 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nirvana Health & Wellness Inc Po Box 451005 Westlake OH 44145-0624 Ph: (440) 872-6548 | Nirvana Health & Wellness Inc 24700 Center Ridge Rd Ste 230 Westlake OH 44145-5682 Ph: (440) 872-6548 |
| NPI Number | 1982140679 |
|---|---|
| Provider Enumeration Date | 01/18/2017 |
| Last Update Date | 05/06/2024 |
| Certification Date | 05/06/2024 |
| Medicare PECOS PAC ID | 9638453301 |
|---|---|
| Medicare Enrollment ID | O20170223001827 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982140679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Unknown Adityanjee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174677389 PECOS PAC ID: 7517069685 Enrollment ID: I20070220000214 |
| Provider Name | Billie Delynn Sewall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932359163 PECOS PAC ID: 1557429222 Enrollment ID: I20081024000003 |
| Provider Name | Denise Sadler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609122001 PECOS PAC ID: 0143658559 Enrollment ID: I20200318001853 |
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