Healthcare Provider Details

I. General information

NPI: 1699475061
Provider Name (Legal Business Name): CLEVELAND CENTER FOR COGNITIVE THERAPY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2023
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24400 HIGHPOINT RD STE 9
BEACHWOOD OH
44122-6027
US

IV. Provider business mailing address

24400 HIGHPOINT RD STE 9
BEACHWOOD OH
44122-6027
US

V. Phone/Fax

Practice location:
  • Phone: 216-831-2500
  • Fax: 216-831-4035
Mailing address:
  • Phone: 216-831-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHLEY BRAUN-GABELMAN
Title or Position: OWNER
Credential: PHD
Phone: 216-831-2500