Organization Active NPI

Apex Neuropsychology Center LLC

  • Psychologist
  • Poland, OH
National Provider Identifier
1003456351
Registry record updated Nov 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
APEX NEUROPSYCHOLOGY CENTER LLC
Practice address
819 Southwestern Run Ste 2
Poland, OH 44514-3623
Phone
(330) 953-1354
Fax
(330) 953-1364
NPI assigned
Jan 14, 2020
Last updated
Nov 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Carla Arlien, PHDNPI 1649362807
Title
Owner
Phone
(330) 953-1354

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X NU Primary

Addresses

Primary practice location

819 Southwestern Run Ste 2
Poland, OH 44514-3623

Mailing address

PO Box 5545
Poland, OH 44514-0545
Phone (330) 953-1354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200224002944 OH Part B Supplier - Clinic/Group Practice 6507293974 Receives reassigned benefits from 1 practitioner
Practice locations: Poland, OH

National Provider Directory

National Provider Directory

Locations

819 Southwestern Run
Ste 2
Poland, OH 44514
Phone (330) 953-1354

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668297600000",
    "number": "1003456351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5545",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445140545",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 SOUTHWESTERN RUN STE 2",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143623",
            "telephone_number": "330-953-1354",
            "fax_number": "330-953-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APEX NEUROPSYCHOLOGY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2022-11-13",
        "certification_date": "2022-11-13",
        "status": "A",
        "authorized_official_last_name": "ARLIEN",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-953-1354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.