Active NPI
Portage Path Community Mental Health Center
- Family Medicine Physician
- Akron, OH
National Provider Identifier
1003777343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER
- Practice address
- 340 S Broadway St
Akron, OH 44308-1529 - Phone
- (330) 253-3100
- Fax
- (330) 253-5248
- NPI assigned
- Nov 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Bahry
- Title
- Cfo
- Phone
- (330) 253-3100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
340 S Broadway St
Akron, OH 44308-1529
Mailing address
340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100
Other names 1
- Portage Path Behavioral Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031230000716 | OH | Part B Supplier - Clinic/Group Practice | 5597663344 |
Receives reassigned benefits from 68 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Cuyahoga Falls, OH; Barberton, OH; Akron, OH |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1225087802
O20031230000716
National Provider Directory
National Provider Directory- Tax ID family
- Portage Path Community Mental Health Center
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Akron, OH
- NPI 1114492147
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1881643633
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Akron, OH
- NPI 1225087802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1763424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777939200000",
"number": "1003777343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081529",
"telephone_number": "330-253-3100",
"fax_number": "330-253-5248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 S BROADWAY ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443081529",
"telephone_number": "330-253-3100",
"fax_number": "330-253-5248"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PORTAGE PATH COMMUNITY MENTAL HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-11-18",
"last_updated": "2026-05-05",
"certification_date": "2026-05-05",
"status": "A",
"authorized_official_last_name": "BAHRY",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "330-253-3100"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Portage Path Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; 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.