Healthcare Provider Details

I. General information

NPI: 1205178159
Provider Name (Legal Business Name): STEPHANIE BARNES-MERCADO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: STEPHANIE BARNES MD

II. Dates (important events)

Enumeration Date: 03/19/2013
Last Update Date: 01/06/2021
Certification Date: 01/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10524 EUCLID AVE STE 1155A
CLEVELAND OH
44106-2205
US

IV. Provider business mailing address

10524 EUCLID AVE STE 1155A
CLEVELAND OH
44106-2205
US

V. Phone/Fax

Practice location:
  • Phone: 216-844-3881
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number19293
License Number StatePR
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number35.136698
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: