NPIMap

Organization Active NPI

Psycare Inc

  • Mental Health Counselor
  • Austintown, OH
National Provider Identifier
1023338605
Registry record updated Jun 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PSYCARE INC
Practice address
107 Javit CT Ste B
Austintown, OH 44515-2442
Phone
(330) 270-1400
Fax
(330) 270-1404
NPI assigned
Jun 7, 2010
Last updated
Jun 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2010

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

Authorized official

Name
Dr. Douglas Darnall, CEO
Title
PHD
Phone
(330) 270-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OH Primary

Addresses

Primary practice location

107 Javit CT Ste B
Austintown, OH 44515-2442

Mailing address

107 Javit CT Ste B
Austintown, OH 44515-2442
Phone (330) 270-1400

Other identifiers 1

IdentifierTypeStateIssuer
2460313MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Psycare Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

Locations

107 Javit Ct
Ste B
Austintown, OH 44515
Phone (330) 270-1400

Practitioners & affiliated clinicians

Practitioners 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1023338605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 JAVIT CT STE B",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152442",
            "telephone_number": "330-270-1400",
            "fax_number": "330-270-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 JAVIT CT STE B",
            "city": "AUSTINTOWN",
            "state": "OH",
            "postal_code": "445152442",
            "telephone_number": "330-270-1400",
            "fax_number": "330-270-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "DARNALL",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PHD",
        "authorized_official_telephone_number": "330-270-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2460313",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austintown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.