PROUD TO BE, INC
NPI 1992577076
Community/Behavioral Health in Cleveland, OH

Q: What is Proud To Be, Inc's NPI number?

The NPI number for Proud To Be, Inc is 1992577076. It was assigned to this organization in the NPPES registry on October 23, 2023.

Q: What is Proud To Be, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Proud To Be, Inc was last updated on October 23, 2023. 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.

Active since October 23, 2023

11811 SHAKER BLVD STE 123, CLEVELAND, OH 44120(216) 242-2990 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Proud To Be, Inc NPPES

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

PROUD TO BE, INC (NPI 1992577076) is a healthcare organization registered as a community/behavioral health in Cleveland, Ohio and active in the NPI registry since October 2023. The organization lists Lisa Sullivan, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1992577076

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NamePROUD TO BE, INC

Location Address11811 SHAKER BLVD STE 123Cleveland, OH 44120-1927

Mailing Address11811 Shaker Blvd Ste 123Cleveland, OH 44120-1927

Phone(216) 242-2990

Organization SubpartNo

Authorized OfficialLisa SullivanCredentialing Specialist · (440) 453-0754

Enumeration DateOctober 23, 2023

NPPES CertifiedOctober 23, 2023

✔ NPI 1992577076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

11811 SHAKER BLVD STE 123, Cleveland, OH 44120

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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK MARTIN CDCA.166404

Counselor (Addiction (Substance Use Disorder))