FORENSIC PSYCHIATRIC CENTER OF NORTHEAST OHIO, INC (NPI# 1134452576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134452576 |
| Entity Type | Organization |
| Organization Name | FORENSIC PSYCHIATRIC CENTER OF NORTHEAST OHIO, INC |
| Practice Address |
5212 Mahoning Ave Suite 317 Youngstown OH 44515-1857 |
| Practice Telephone | 3307921918 |
| Practice Fax Number | 3307927712 |
| Mailing Telephone | 3307921918 |
| Mailing Fax Number | 3307927712 |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |
| Authorized Official Name | GERALD L HEINBAUGH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3307921918 |
| Authorized Official Credential | MS, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 295 | OH | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 295 | OH | Agencies |
| Street Address |
5212 MAHONING AVE SUITE 317 |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44515-1857 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742685 | Panacea Behavior Therapy | Community/Behavioral Health | 2703 Mahoning Ave Ste 103, Youngstown, OH 44509-2337 | 2020-08-26 |
| 1861017683 | Broadway Recovery Services, Inc. | Community/Behavioral Health | 1 W Federal St Ste 1407, Youngstown, OH 44503-1421 | 2020-06-09 |
| 1104451343 | Khiree Gregory | Community/Behavioral Health | 242 Maywood Dr, Youngstown, OH 44512-1259 | 2020-03-09 |
| 1336614015 | Mahoning Valley Reentry Coalition | Community/Behavioral Health | 420 Clearmount Dr, Youngstown, OH 44511-3152 | 2018-10-09 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1902206618 | Flying High Inc. | Community/Behavioral Health | 6 Federal Plaza Central, Suite 705, Youngstown, OH 44503-1514 | 2014-08-29 |
| 1639594195 | Faucette Child & Family Counseling | Community/Behavioral Health | 3212 Mahoning Ave, Suite 4, Youngstown, OH 44509-2600 | 2014-02-20 |
| 1447594171 | New Day Counseling & Wellness, LLC | Community/Behavioral Health | 4690 Belmont Ave, Youngstown, OH 44505-1012 | 2012-11-19 |
| 1790830172 | Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc | Community/Behavioral Health | 496 Glenwood Ave, Suite 120, Youngstown, OH 44502-1509 | 2007-01-24 |
| 1497354443 | Dylan D Wilkerson | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-10-21 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on FORENSIC PSYCHIATRIC CENTER OF NORTHEAST OHIO, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.