Active NPI
Patricia Maskow Firem, PH.D., LLC
- Community/Behavioral Health Agency
- Chardon, OH
National Provider Identifier
1013265024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 5127
- Legal business name
- PATRICIA MASKOW FIREM, PH.D., LLC
- Practice address
- 401 South St
2B
Chardon, OH 44024-2805 - Phone
- (440) 285-8746
- Fax
- (440) 285-8746
- NPI assigned
- Aug 22, 2012
- 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
- Patricia Maskow Firem, PH.D.
- Title
- Owner
- Phone
- (440) 285-8746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 5127 | OH | Primary |
Addresses
Primary practice location
401 South St
2B
Chardon, OH 44024-2805
Mailing address
401 South St
2B
Chardon, OH 44024-2805
Phone (440) 285-8746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2181722 | Medicaid | OH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1345593600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1345593600000",
"number": "1013265024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 SOUTH ST",
"address_2": "2B",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242805",
"telephone_number": "440-285-8746",
"fax_number": "440-285-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 SOUTH ST",
"address_2": "2B",
"city": "CHARDON",
"state": "OH",
"postal_code": "440242805",
"telephone_number": "440-285-8746",
"fax_number": "440-285-8746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATRICIA MASKOW FIREM, PH.D., LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-22",
"last_updated": "2012-08-22",
"status": "A",
"authorized_official_last_name": "FIREM",
"authorized_official_first_name": "PATRICIA",
"authorized_official_middle_name": "MASKOW",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "440-285-8746",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "5127",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2181722",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chardon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.