Healthcare Provider Details

I. General information

NPI: 1295642171
Provider Name (Legal Business Name): CHAYA NADOFF
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 SUPERIOR AVE
CLEVELAND OH
44114-2522
US

IV. Provider business mailing address

2518 CLAVER RD
UNIVERSITY HEIGHTS OH
44118-4645
US

V. Phone/Fax

Practice location:
  • Phone: 216-838-0214
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License NumberLSP.03020
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: