MR. ELLIS MARTINEZ GRAHAM JR.
NPI 1962025486
Peer Specialist in North Olmsted, OH

Q: What is Ellis Graham's NPI number?

The NPI number for Ellis Graham is 1962025486. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Q: What is Ellis Graham's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Ellis Graham was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since May 19, 2020

24695 MAPLE RIDGE RD, NORTH OLMSTED, OH 44070(216) 278-5702 Get Directions Write a Review

NPPES record last updated: May 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mr. Ellis Martinez Graham Jr. NPPES

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

MR. ELLIS MARTINEZ GRAHAM JR. (NPI 1962025486) is an individual peer specialist in North Olmsted, Ohio and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1962025486

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMR. ELLIS MARTINEZ GRAHAM JR.

Location Address24695 MAPLE RIDGE RDNorth Olmsted, OH 44070-1274

Mailing Address24695 Maple Ridge RdNorth Olmsted, OH 44070-1274 · (216) 278-5702

Phone(216) 278-5702

Sole ProprietorYes

Enumeration DateMay 19, 2020

NPPES CertifiedMay 19, 2020

✔ NPI 1962025486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

24695 MAPLE RIDGE RD, North Olmsted, OH 44070

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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 Ellis Graham's NPI number?

The NPI number for Ellis Graham is 1962025486. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Ellis Graham located?

Ellis Graham practices at 24695 Maple Ridge Rd, North Olmsted, OH 44070. The listed phone number is (216) 278-5702.

What is Ellis Graham's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Ellis Graham was last updated on May 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.