SPECTRUM OF PSYCHIATRIC AND PSYCHOLOGICAL SERVICES


Address: 556 N. Leavitt Rd., Amherst, OH 44001
Phone: 4409857777

SPECTRUM OF PSYCHIATRIC AND PSYCHOLOGICAL SERVICES (NPI# 1366697963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366697963
Entity Type Organization
Organization Name SPECTRUM OF PSYCHIATRIC AND PSYCHOLOGICAL SERVICES
Practice Address 556 N. Leavitt Rd.
Amherst
OH 44001
Practice Telephone 4409857777
Mailing Telephone 4409857777
Enumeration Date 2008-11-24
Last Update Date 2008-11-24
Authorized Official Name DR. LAURIE JO POLUBINSKY (PRESIDENT)
Authorized Official Telephone 4409857777
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0850X Clinic/Center
Specialization: Adult Mental Health
35.090420 OH Ambulatory Health Care Facilities

Office Location

Street Address 556 N. LEAVITT RD.
City AMHERST
State OH
Zip Code 44001

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1841590494 Brenda Kay Keller Social Worker 48395 Cooper Foster Park Road, Amherst, OH 44001 2010-10-29
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Taxonomy Information

Taxonomy Code 261QM0850X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Adult Mental Health

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Notes: [7/1/2003: new]

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Competitor

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City AMHERST
Zip Code 44001

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Dataset Information

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.

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