MEDICARE: CLEVELAND AUTISM TREATMENT SPECIALISTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1144151838
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEVELAND AUTISM TREATMENT SPECIALISTS

Provider Business Mailing Address
First Line	:	PO BOX 201391
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-8106
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3006 KESWICK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2721
Country	:	US
Telephone Number	:	216-239-0226
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	PHILIP CRANMER
Credential	:	LPCC-S
Telephone Number	:	216-239-0226

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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