MARK A STURDIVANT
NPI 1194481457
Peer Specialist in Cleveland, OH

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since November 11, 2021

2121 W 117TH ST, CLEVELAND, OH 44111(216) 417-4831 Get Directions Write a Review

NPPES record last updated: November 11, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

On this page

About Mark A Sturdivant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK A STURDIVANT (NPI 1194481457) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (0002834) and active in the NPI registry since November 2021.

NPPES Registry Identity

NPI1194481457

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMARK A STURDIVANT

Location Address2121 W 117TH STCleveland, OH 44111-1642

Mailing Address2121 W 117th StCleveland, OH 44111-1642 · (216) 417-4831

Phone(216) 417-4831

Sole ProprietorYes

Enumeration DateNovember 11, 2021

NPPES CertifiedNovember 11, 2021

✔ NPI 1194481457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OH · 0002834

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

2121 W 117TH ST, Cleveland, OH 44111

Open in Google Maps ↗

Other Identifiers 1

Other0002834OH · Peer Support Certification

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP