NPIMap

Organization Active NPI

Mahoning County Community Corrections Association, Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
National Provider Identifier
1104505924
Registry record updated Jul 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.
Practice address
1771 Market St
Youngstown, OH 44507-1135
Phone
(330) 744-5143
Fax
(330) 742-8661
NPI assigned
Jul 18, 2023
Last updated
Jul 18, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2023

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

Authorized official

Name
Angela Neely
Title
Cfo
Phone
(330) 744-5143

Specialties & licenses 1

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

Addresses

Primary practice location

1771 Market St
Youngstown, OH 44507-1135

Mailing address

1507 Market St
Youngstown, OH 44507-1127
Phone (330) 744-5143

Other practice location 1

1608 Market St
Youngstown, OH 44507-1130
Phone (330) 744-5143

Other practice location 2

1806 Market St
Youngstown, OH 44507-1136
Phone (330) 744-5143

Other practice location 3

1764 Market St
Youngstown, OH 44507-1156
Phone (330) 744-5143

National Provider Directory

National Provider Directory
Tax ID family
Community Corrections Association Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1507 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1608 Market St
Youngstown, OH 44507
Phone (330) 744-5143

1771 Market St
Youngstown, OH 44507
Phone (330) 744-5143

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689638400000",
    "number": "1104505924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071127",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445071135",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1608 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071130",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8670",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071136",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1764 Market St",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445071156",
            "country_code": "US",
            "telephone_number": "330-744-5143",
            "fax_number": "330-742-8661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAHONING COUNTY COMMUNITY CORRECTIONS ASSOCIATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "NEELY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-744-5143"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.