NPIMap

Organization Active NPI

Psycare, Inc.

  • Community/Behavioral Health Agency
  • Struthers, OH
National Provider Identifier
1104462589
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PSYCARE, INC.
Practice address
520 Youngstown Poland Road
Struthers, OH 44471-1103
Phone
(330) 318-3078
Fax
(234) 855-1072
NPI assigned
Nov 21, 2019
Last updated
Aug 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Authorized official

Name
Lorraine KellyNPI 1336230309
Title
Ceo
Phone
(330) 759-0276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

520 Youngstown Poland Road
Struthers, OH 44471-1103

Mailing address

3040 Belmont Avenue
Suite C
Youngstown, OH 44505-1836
Phone (330) 759-0276

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040428000034 OH Part B Supplier - Clinic/Group Practice 9335136795 Receives reassigned benefits from 58 practitioners
10 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Austintown, OH; Boardman, OH; Cortland, OH; East Liverpool, OH; Struthers, OH; Warren, OH; Youngstown, OH

Other NPIs on the same Medicare enrollment 10

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

11677 Rockhill Ave NE
Alliance, OH 44601
Phone (330) 821-0071

235 Main Ave SW
Warren, OH 44481
Phone (330) 395-8655

136 Westchester Dr
Ste 5
Youngstown, OH 44515
Phone (330) 270-1400

3040 Belmont Ave
Ste C
Youngstown, OH 44505

Practitioners & affiliated clinicians

Practitioners 81

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 81

NPI Registry JSON

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756425600000",
    "number": "1104462589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BELMONT AVENUE",
            "address_2": "SUITE C",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445051836",
            "telephone_number": "330-759-0276",
            "fax_number": "330-759-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 YOUNGSTOWN POLAND ROAD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444711103",
            "telephone_number": "330-318-3078",
            "fax_number": "234-855-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-759-0276"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Struthers, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.