Active NPI
Western Reserve Care System
- Psychiatric Hospital Unit
- Youngstown, OH
National Provider Identifier
1124115878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital Unit
- Legal business name
- WESTERN RESERVE CARE SYSTEM
- Practice address
- 500 Gypsy LN
Youngstown, OH 44504-1315 - Phone
- (330) 884-3898
- Fax
- (330) 884-5672
- NPI assigned
- Oct 6, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Roxia B. Boykin, MPA, RN, CNA
- Title
- Executive Vice President and Coo
- Phone
- (330) 884-5879
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital Unit | 273R00000X | Primary | ||
| Children's Hospital | 282NC2000X |
Addresses
Primary practice location
500 Gypsy LN
Youngstown, OH 44504-1315
Mailing address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone (330) 884-3898
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0560343 | Medicaid | OH |
Other names 1
- Tod Children's Hospital
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124115878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "330-884-3898",
"fax_number": "330-884-5672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 GYPSY LN",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "445041315",
"telephone_number": "330-884-3898",
"fax_number": "330-884-5672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WESTERN RESERVE CARE SYSTEM",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-06",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "BOYKIN",
"authorized_official_first_name": "ROXIA",
"authorized_official_middle_name": "B.",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
"authorized_official_telephone_number": "330-884-5879",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MPA, RN, CNA"
},
"taxonomies": [
{
"code": "273R00000X",
"taxonomy_group": "",
"desc": "Psychiatric Unit",
"state": null,
"license": null,
"primary": true
},
{
"code": "282NC2000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0560343",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Tod Children's Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.