LUCY IDOL CENTER, INC (NPI# 1962477901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962477901 |
| Entity Type | Organization |
| Organization Name | LUCY IDOL CENTER, INC |
| Practice Address |
435 Nicholson Rd Vermilion OH 44089-2536 |
| Mailing Address |
Po Box 162 435 Nicholson Ave Vermilion OH 44089-0162 |
| Practice Telephone | 4409676724 |
| Practice Fax Number | 4409674495 |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2020-11-02 |
| Authorized Official Name | JOHN TAD PECK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4409676724 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers | ||
| N | 171R00000X | Interpreter | Other Service Providers | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 261QA0600X |
Clinic/Center Specialization: Adult Day Care |
Ambulatory Health Care Facilities | ||
| N | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0077 | OH | Ambulatory Health Care Facilities |
| Street Address |
435 NICHOLSON RD |
| City | VERMILION |
| State | OH |
| Zip Code | 44089-2536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407361827 | Nicholas Kochenour Dmd Msd LLC | Dentist | 1418 Oh-60, Suite 1, Vermilion, OH 44089 | 2017-12-07 |
| 1831588193 | Allison Solberg | Speech-Language Pathologist | 1250 Sandford St, Vermilion, OH 44089 | 2015-01-09 |
| 1225479751 | Peter Michael Dimezza | Counselor | 1607 State Rd Ste 9, Vermilion, OH 44089 | 2013-07-12 |
| 1245677137 | Crystal Lee Neely | Licensed Practical Nurse | 1440 Lexington Dr, Vermilion, OH 44089 | 2013-05-31 |
| 1205169257 | Dewey Furniture & Carpet Inc. | Durable Medical Equipment & Medical Supplies | 4483 Liberty Avenue, Vermilion, OH 44089 | 2009-09-09 |
| 1790903060 | Diane L. Paige | Physical Therapist | 1605 State Road, Ste. 3, Vermilion, OH 44089 | 2007-04-23 |
| 1780756957 | Dina Cynthia Bauer | Podiatrist | 5435 Liberty Ave, Vermilion, OH 44089 | 2006-11-14 |
| 1861599755 | Susan Diane Fee | Counselor | 5475 Liberty Avenue, Vermilion, OH 44089 | 2006-09-20 |
| 1154346658 | Huyen Ngoc T Bartholomew | Family Medicine | 1605 State Route 60, Vineyard Square Plaza #9, Vermilion, OH 44089 | 2006-07-13 |
| 1720052517 | Stephen E Meyer | Family Medicine | 1607 State Route 60, Ste 6, Vermilion, OH 44089 | 2006-02-16 |
| Find all providers in zip 44089 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1386243939 | Tree of Life Healthcare LLC | Clinic/Center | 3043 Kiwatha Rd, Youngstown, OH 44511-3003 | 2020-10-23 |
| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
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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.