MEDICARE: VITALXCHANGE INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	101YM0800X	Mental Health Counselor
2	103TC2200X	Clinical Child & Adolescent Psychologist
3	1041C0700X	Clinical Social Worker
4	2080P0006X	Developmental - Behavioral Pediatrics Physician

General Provider Information

NPI Number	:	1912855727
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITALXCHANGE INC

Provider Business Mailing Address
First Line	:	4283 EAGLE PT
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-4172
Country	:	US
Telephone Number	:	216-925-2534
Fax Number	:

Provider Business Practice Location Address
First Line	:	4283 EAGLE PT
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-4172
Country	:	US
Telephone Number	:	216-925-2534
Fax Number	:

Authorized Official
Title or Position	:	CTO
Name	:	MR. KETAL PATEL
Credential	:
Telephone Number	:	216-925-2534

Provider Enumeration Date	:	03/18/2026
Last Update Date	:	03/18/2026

Similar Medicare Providers

1417950692 — MR. DAVID E COHEN MD
Practice Location Address:

777 NORTH ST STE 407
PITTSFIELD, MA
01201-4172

Practice Phone: 413-445-6420
Practice Fax: 413-499-4907

1093798415 — BERKSHIRE PEDIATRIC ASSOCIATES PC
Practice Location Address:

777 NORTH ST STE 305 , BERKSHIRE PEDIATRIC ASSOCIATES PC
PITTSFIELD, MA
01201-4172

Practice Phone: 413-499-8531
Practice Fax: 413-499-8560

1053360552 — DR. ALAN GRAY KULBERG MD
Practice Location Address:

777 NORTH ST STE 305 , BERKSHIRE PEDIATRIC ASSOCIATES PC
PITTSFIELD, MA
01201-4172

Practice Phone: 413-499-8535
Practice Fax: 413-499-8535

1114051059 — MS. EVELYN RESH CNM
Practice Location Address:

777 NORTH ST STE 301
PITTSFIELD, MA
01201-4172

Practice Phone: 413-499-8570
Practice Fax: 413-499-8565

1760673123 — DR. LAUREN BETH SLATER M.D.
Practice Location Address:

777 NORTH ST STE 301
PITTSFIELD, MA
01201-4172

Practice Phone: 413-499-8568
Practice Fax:

1962671909 — MR. JOSE M HEISECKE MD..
Practice Location Address:

777 NORTH ST STE 407
PITTSFIELD, MA
01201-4172

Practice Phone: 413-445-6420
Practice Fax: 413-499-4907

Directions to “VITALXCHANGE INC ” 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.