MEDICARE: CARRINGTON YOUTH ACADEMY

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	251S00000X	Community/Behavioral Health Agency	0698	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811238215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARRINGTON YOUTH ACADEMY

Provider Business Mailing Address
First Line	:	2114 NOBLE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1725
Country	:	US
Telephone Number	:	216-268-2400
Fax Number	:	216-268-2460

Provider Business Practice Location Address
First Line	:	2114 NOBLE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44112-1725
Country	:	US
Telephone Number	:	216-268-2400
Fax Number	:	216-268-2460

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. BERNARD F PAWLIKOWSKY
Credential	:
Telephone Number	:	216-268-2400

Provider Enumeration Date	:	03/09/2013
Last Update Date	:	05/16/2013

Similar Medicare Providers

1598825069 — NORTHERN OHIO RECOVERY ASSOCIATION
Practice Location Address:

2114 NOBLE RD
EAST CLEVELAND, OH
44112-1725

Practice Phone: 216-229-3784
Practice Fax: 216-229-2746

1295921187 — MEDSOURCE HOME HEALTH CARE
Practice Location Address:

2114 NOBLE RD
E CLEVELAND, OH
44112-1725

Practice Phone: 216-289-9112
Practice Fax: 216-289-9114

1568805240 — CARRINGTON YOUTH ACADEMY
Practice Location Address:

2114 NOBLE RD
CLEVELAND, OH
44112-1725

Practice Phone: 216-268-2400
Practice Fax: 216-268-2460

1225499163 — MATTHEW D. ERULKAR MSSA
Practice Location Address:

2114 NOBLE RD
CLEVELAND, OH
44112-1725

Practice Phone: 216-630-0364
Practice Fax:

1962864587 — EMILY GERENCSER SWT
Practice Location Address:

2114 NOBLE RD
CLEVELAND, OH
44112-1725

Practice Phone: 216-970-6125
Practice Fax:

1396248803 — MARILYN COLLINS
Practice Location Address:

2114 NOBLE RD
CLEVELAND, OH
44112-1725

Practice Phone: 216-268-2400
Practice Fax:

Directions to “CARRINGTON YOUTH ACADEMY ” 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 © 2007-2026 (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.