Healthcare Provider Details

I. General information

NPI: 1659168854
Provider Name (Legal Business Name): AL PSYCHIATRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 05/12/2025
Certification Date: 04/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 SUPERIOR AVE E STE 1618
CLEVELAND OH
44114-2709
US

IV. Provider business mailing address

815 SUPERIOR AVE E STE 1618
CLEVELAND OH
44114-2709
US

V. Phone/Fax

Practice location:
  • Phone: 440-812-1113
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0808X
TaxonomyPsychiatric/Mental Health Clinical Nurse Specialist
License Number
License Number State

VIII. Authorized Official

Name: MRS. AMANDA LAMBERT
Title or Position: PSYCHIATRIC NURSE PRACTITIONER
Credential: APRN, PMHNP-BC
Phone: 440-812-1113