Access Psycho-Social Services Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0002706 Issued in OH

Legal business name

ACCESS PSYCHO-SOCIAL SERVICES INC.

Practice address

7784 Reynolds Place
Suite 213
Mentor, OH 44060-5321

Phone

(440) 954-4975

Fax

(216) 731-4993

NPI assigned

Sep 12, 2012

Last updated

Sep 12, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Patrick McCafferty, DCSW, MSSA, LISW-S,

Title

President/Ceo

Phone

(440) 954-4975

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1053661538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27601 MILLS AVENUE",
            "address_2": "UNIT J",
            "city": "EUCLID",
            "state": "OH",
            "postal_code": "441323075",
            "telephone_number": "440-954-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7784 REYNOLDS PLACE",
            "address_2": "SUITE 213",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605321",
            "telephone_number": "440-954-4975",
            "fax_number": "216-731-4993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS PSYCHO-SOCIAL SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-12",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MCCAFFERTY",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "440-954-4975",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DCSW, MSSA, LISW-S,"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0002706",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LISW-S",
            "identifier": "0002706",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0815292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Suma Achar, DDS
• Julie Adamek, LPCC
• Kayla Marie Adamic
• Cynthia Louise Adams, RN
• Lynn Adams

• Community/Behavioral Health Agency in Mentor, OH
• Providers in Mentor, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.