MAHOGANY 360 FITNESS, LLC
NPI 1629822614
Psychologist - Exercise & Sports in Cleveland, OH

Active since April 16, 2024
17325 EUCLID AVE STE 1094, CLEVELAND, OH 44112(216) 282-7696 Get Directions Write a Review

NPPES record last updated: April 24, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 24, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About Mahogany 360 Fitness, Llc NPPES

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

MAHOGANY 360 FITNESS, LLC (NPI 1629822614) is a healthcare organization registered as an exercise & sports in Cleveland, Ohio and active in the NPI registry since April 2024. The organization lists Angela Brown, Manager, as its authorized official.

NPPES Registry Identity

NPI1629822614
Entity TypeOrganization
Primary Taxonomy103TE1100X
Legal Business NameMAHOGANY 360 FITNESS, LLC
Location Address17325 EUCLID AVE STE 1094Cleveland, OH 44112-1247
Mailing AddressPo Box 43371Richmond Heights, OH 44143-0371 · (216) 282-7696
Organization SubpartNo
Authorized OfficialAngela BrownManager · (216) 282-7696
Enumeration DateApril 16, 2024
Last NPPES UpdateApril 24, 20242 updates tracked since enumeration
NPPES CertifiedApril 24, 2024
NPI 1629822614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychologist · Exercise & SportsBehavioral Health & Social Service Providers
Taxonomy Code103TE1100X
Definition
A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated with sports settings and organizations. APA recognizes sport psychology as a proficiency acquired after a doctoral degree in one of the primary areas of psychology and licensure as a psychologist. This proficiency does not include those who have earned a doctoral degree in sport psychology but are not licensed psychologists.
Also ListedHealth and Wellness CoachTaxonomy 171400000X
Also ListedHealth EducatorTaxonomy 174H00000X
17325 EUCLID AVE STE 1094, Cleveland, OH 44112

Other Names 1

Doing Business AsMahogany 360 Fitness, Llc

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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mahogany 360 Fitness, LLC's NPI number?

The NPI number for Mahogany 360 Fitness, LLC is 1629822614. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is Mahogany 360 Fitness, LLC located?

Mahogany 360 Fitness, LLC is located at 17325 Euclid Ave Ste 1094, Cleveland, OH 44112. The listed phone number is (216) 282-7696.

What is Mahogany 360 Fitness, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Exercise & Sports, with taxonomy code 103TE1100X.

When was this NPI record last updated?

The NPPES record for Mahogany 360 Fitness, LLC was last updated on April 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.