Organization Active NPI

Patricia Maskow Firem, PH.D., LLC

  • Community/Behavioral Health Agency
  • Chardon, OH
National Provider Identifier
1013265024
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
5127 Issued in OH
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

Updated by the provider on Aug 22, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2181722MedicaidOH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.