1245684232 NPI number — WILKES MENTAL HEALTH CONSULTANTS INC.

Table of content: DR. DANIEL JOEL COQUYT MD (NPI 1326664327)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245684232 NPI number — WILKES MENTAL HEALTH CONSULTANTS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WILKES MENTAL HEALTH CONSULTANTS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245684232
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/03/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23811 CHAGRIN BLVD
Provider Second Line Business Mailing Address:
STE. 170
Provider Business Mailing Address City Name:
BEACHWOOD
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44122-5525
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-765-0440
Provider Business Mailing Address Fax Number:
216-765-0448

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
23811 CHAGRIN BLVD
Provider Second Line Business Practice Location Address:
STE. 170
Provider Business Practice Location Address City Name:
BEACHWOOD
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44122-5525
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-765-0440
Provider Business Practice Location Address Fax Number:
216-765-0448
Provider Enumeration Date:
04/16/2016

Additional Information

Authorized Official

Authorized Official Last Name:
WILKES
Authorized Official First Name:
GARY
Authorized Official Middle Name:
MASON
Authorized Official Title or Position:
PRESIDENT AND COO
Authorized Official Telephone Number:
216-765-0440

Provider Taxonomy Codes

  • Taxonomy code: 2084P0800X , with the licence number:  35-049560 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com