MEDICARE: UNITED STATES TELEPATHY

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QR0208X	Mobile Radiology Clinic/Center
3	305S00000X	Point of Service
4	344800000X	Air Carrier
5	103TH0100X	Health Service Psychologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366236200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNITED STATES TELEPATHY

Provider Business Mailing Address
First Line	:	2867 MAYFIELD RD APT 1
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2050
Country	:	US
Telephone Number	:	216-314-7571
Fax Number	:

Provider Business Practice Location Address
First Line	:	2867 MAYFIELD RD APT 1
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44118-2050
Country	:	US
Telephone Number	:	216-314-7571
Fax Number	:

Authorized Official
Title or Position	:	XAVIER6
Name	:	PROF. XAVIER DIRELL WILLIS
Credential	:
Telephone Number	:	216-314-7571

Provider Enumeration Date	:	04/07/2025
Last Update Date	:	04/07/2025

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Directions to “UNITED STATES TELEPATHY ” Practice Location

Language	Start Address	Practice Location

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