Individual
JEFFREY W JANATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-2400
(216) 844-1703
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3578
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000224284
UNISON
OH
01
—
000000533014
ANTHEM
OH
05
—
0789204
—
OH
01
—
363666
WELLCARE MEDICAID
OH
01
—
4354456
AETNA
OH
01
—
P00678111
MEDICARE RAILROAD
OH
Enumeration date
07/15/2006
Last updated
01/13/2021
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