MEDICARE: GRAND RISING MENTAL HEALTH SERVICE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1548930670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GRAND RISING MENTAL HEALTH SERVICE

Provider Business Mailing Address
First Line	:	16201 JUDSON DR
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-2159
Country	:	US
Telephone Number	:	216-632-3533
Fax Number	:

Provider Business Practice Location Address
First Line	:	16802 LIPTON AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44128-3620
Country	:	US
Telephone Number	:	216-632-3533
Fax Number	:

Authorized Official
Title or Position	:	MA/OWNER
Name	:	MS. MELISSA A TAYLOR
Credential	:	MA
Telephone Number	:	216-632-3533

Provider Enumeration Date	:	09/20/2021
Last Update Date	:	09/20/2021

Similar Medicare Providers

1760533665 — CARMEN LATRICE REESE STNA
Practice Location Address:

16806 LIPTON AVE
CLEVELAND, OH
44128-3620

Practice Phone: 216-581-6254
Practice Fax:

1023230984 — MS. BEVERLY LOUISE KEELER RD
Practice Location Address:

3532 SILSBY RD
CLEVELAND HEIGHTS, OH
44118-3620

Practice Phone: 216-932-2309
Practice Fax:

1487204848 — MOSHE STEINMETZ
Practice Location Address:

3620 BENDEMEER RD
CLEVELAND, OH
44118-1917

Practice Phone: 845-521-4234
Practice Fax:

1639884448 — DWIGHT CANNON
Practice Location Address:

4397 ARDMORE RD
CLEVELAND, OH
44121-3620

Practice Phone: 216-710-9786
Practice Fax:

1902775521 — MR. DAVID K PATTERSON SR.
Practice Location Address:

2067 MOUNT VERNON BLVD
EAST CLEVELAND, OH
44112-3620

Practice Phone: 216-860-5785
Practice Fax: 216-860-5785

1669336459 — LAKESHIA WILLIAMS
Practice Location Address:

15903 GLENDALE AVE
CLEVELAND, OH
44128-1222

Practice Phone: 216-507-9334
Practice Fax:

Directions to “GRAND RISING MENTAL HEALTH SERVICE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.