Organization Active NPI

Psycare Inc

  • Psychologist
  • East Liverpool, OH
National Provider Identifier
1083888796
Registry record updated Apr 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1730 Issued in OH
Legal business name
PSYCARE INC
Practice address
15549 State Route 170
Suite 10
East Liverpool, OH 43920-9216
Phone
(330) 385-1000
Fax
(330) 385-3588
NPI assigned
Apr 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2008

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

Authorized official

Name
Rhonda S Reeder
Title
Office MGR
Phone
(330) 385-1000

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 1730 OH
PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103T00000X 1730 OH Primary
Prescribing (Medical) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TP0016X
Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 104100000X C0004537 OH
Marriage & Family TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 106H00000X
Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0808X RX04144 OH
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X RX04144 OH

Addresses

Primary practice location

15549 State Route 170
Suite 10
East Liverpool, OH 43920-9216

Mailing address

15549 Star RT 170
Suite 10
East Liverpool, OH 43920-9216
Phone (330) 385-1000

Other identifiers 1

IdentifierTypeStateIssuer
2648102MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Psycare Inc of New Cast10 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

15549 State Route 170
Ste 10
East Liverpool, OH 43920
Phone (330) 385-1000

NPI Registry JSON

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208217600000",
    "number": "1083888796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15549 STAR RT 170",
            "address_2": "SUITE 10",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209216",
            "telephone_number": "330-385-1000",
            "fax_number": "330-385-3588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15549 STATE ROUTE 170",
            "address_2": "SUITE 10",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209216",
            "telephone_number": "330-385-1000",
            "fax_number": "330-385-3588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2008-04-15",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "330-385-1000"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1730",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "1730",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "OH",
            "license": "C0004537",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RX04144",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "RX04144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2648102",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; 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.