POTENTIAL DEVELOPMENT PROGRAM (NPI# 1497196513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497196513 |
| Entity Type | Organization |
| Organization Name | POTENTIAL DEVELOPMENT PROGRAM |
| Practice Address |
209 W Woodland Ave Youngstown OH 44502-1866 |
| Practice Telephone | 3307467641 |
| Practice Fax Number | 3307464008 |
| Mailing Telephone | 3307467641 |
| Mailing Fax Number | 3307464008 |
| Enumeration Date | 2013-07-17 |
| Last Update Date | 2013-08-14 |
| Authorized Official Name | MR. PAUL JOHN GARCHAR (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3307467641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251300000X | Local Education Agency (LEA) | 132878 | OH | Agencies |
| Street Address |
209 W WOODLAND AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44502-1866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097851 | Jerry Orizal | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-09-15 |
| 1083222343 | Denise Rochae Myers | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-07-22 |
| 1114549730 | Lester Scott II | Counselor | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-05-18 |
| 1457971467 | David George Ortiz | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-04-20 |
| 1336779198 | Brianna Michele Williams | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-21 |
| 1508496753 | Dennis Michael Bowers | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2020-01-16 |
| 1558908970 | Debra Elaine Posey | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-12-04 |
| 1407491343 | Ohio Diagnostic Imaging LLC | Clinic/Center | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-14 |
| 1548805195 | Kristen Pigza | Community/Behavioral Health | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-11-07 |
| 1295378370 | Braylin Rushton | Social Worker | 209 W Woodland Ave, Youngstown, OH 44502-1866 | 2019-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484189 | Kyle Dalton Flora | Specialist/Technologist | 577 5th Ave Rm 1103, Youngstown, OH 44502 | 2020-07-09 |
| 1700449568 | Lil Indian's Mobile Meals LLC | Meals | 3662 Loveland Rd., Youngstown, OH 44502 | 2019-04-17 |
| 1588155162 | Luke Cantin | Specialist/Technologist | 577 5th Ave, Youngstown, OH 44502 | 2018-05-19 |
| 1104377464 | Jessica Slaughter | Physical Therapist | 299 Edward Street, Youngstown, OH 44502 | 2016-10-20 |
| 1295147585 | Willow Claims Processing, LLC | Case Management | 507 Oak Hill Avenue, 551 New Court, Youngstown, OH 44502 | 2014-05-21 |
| 1821413717 | Amy Woodford | Speech-Language Pathologist | 50 Essex Street, Youngstown, OH 44502 | 2014-02-28 |
| 1710318282 | Ursuline Center | Clinic/Center | 345 Oak Hill Ave Ste 200, Youngstown, OH 44502 | 2013-12-09 |
| 1275891087 | Michael K Lemaster | Counselor | 4949 Urbana Road, Suite 201, Springfield, OH 44502 | 2012-04-30 |
| 1407027378 | Youngstown City Health District | Internal Medicine | 345 Oak Hill Avenue, Youngstown, OH 44502 | 2008-03-18 |
| 1427136431 | Rebecca Ann Nelis | Social Worker | 611 Belmont Avenue, Youngstown, OH 44502 | 2006-11-01 |
| Find all providers in zip 44502 | ||||
| Taxonomy Code | 251300000X |
| Grouping | Agencies |
| Classification | Local Education Agency (LEA) |
| The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
| Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376016238 | Mahoning Unlimited Classroom | Local Education Agency (LEA) | 7401 Market St Rm 519, Youngstown, OH 44512-5651 | 2019-01-03 |
| 1306218771 | Horizon Science Academy Youngstown | Local Education Agency (LEA) | 3403 Southern Blvd, Youngstown, OH 44507 | 2015-10-26 |
| 1174912844 | Youngstown Academy of Excellence | Local Education Agency (LEA) | 1408 Rigby St, Youngstown, OH 44506-1617 | 2015-01-17 |
| 1114156650 | Mollie Kessler School | Local Education Agency (LEA) | 118 E Wood St, Youngstown, OH 44503-1625 | 2009-07-06 |
| 1689814378 | Eagle Heights Academy | Local Education Agency (LEA) | 1833 Market St, Youngstown, OH 44507-1137 | 2009-02-20 |
| 1649419177 | Liberty Local Schools | Local Education Agency (LEA) | 4115 Shady Rd, Youngstown, OH 44505-1353 | 2009-02-06 |
| 1326285917 | Youngstown Community School | Local Education Agency (LEA) | 50 Essex St, Youngstown, OH 44502-1838 | 2009-01-19 |
| 1104010602 | Summit Academy Middle School Youngstown | Local Education Agency (LEA) | 810 Oak St, Youngstown, OH 44506-1233 | 2007-08-29 |
| 1922292424 | Summit Academy Secondary School Youngstown | Local Education Agency (LEA) | 1400 Oak Hill Ave, Youngstown, OH 44507-1018 | 2007-08-29 |
| 1669666160 | Summit Academy Community School for Alternative Learners | Local Education Agency (LEA) | 144 N Schenley Ave, Youngstown, OH 44509-2041 | 2007-08-29 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44502 |
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| 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.