Provider Demographics
NPI:1265572622
Name:CHAIGNAT, JAIME M (IMFT-S)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:M
Last Name:CHAIGNAT
Suffix:
Gender:F
Credentials:IMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 LANDER RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44124-5712
Mailing Address - Country:US
Mailing Address - Phone:216-378-3986
Mailing Address - Fax:216-378-3908
Practice Address - Street 1:13201 GRANGER RD STE 8
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44125-1979
Practice Address - Country:US
Practice Address - Phone:216-378-3983
Practice Address - Fax:216-378-3908
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA44576106H00000X
OHF.1800059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHGH9532Medicare ID - Type UnspecifiedMEDICAL-DMH