MJ Harvey Development, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

M7605514 Issued in OH

Legal business name

MJ HARVEY DEVELOPMENT, LLC

Practice address

804 Marion Ave SW
Canton, OH 44707

Phone

(330) 437-6838

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Marlo J Harvey, LMSW, COTA/LNPI 1548468440

Title

Ceo

Phone

(330) 437-6838

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marlo Jeanette Harvey, LISW

  • Clinical Social Worker
  • Akron, OH
  • NPI 1548468440
  NPD (past) Authorized official

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462320000000",
    "number": "1184070526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4647 RENWORTH AVE NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447141194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 MARION AVE SW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44707",
            "telephone_number": "330-437-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJ HARVEY DEVELOPMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2016-05-04",
        "status": "A",
        "authorized_official_last_name": "HARVEY",
        "authorized_official_first_name": "MARLO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-437-6838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMSW, COTA/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "M7605514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2978078",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarae Mitchell
• Yanique Marcia-Kay Mitchell, MD
• Zachary Mitchell
• Osama Mitri
• Jennifer L Mizicko, PCC, LSW
• Gertrude Mkparu
• Albert E Moag
• Stephanie Mobley, LPN
• Monique I Mockabee, CT
• Modern Hearing Solutions of Canton Inc.

• Developmentally Disabled Services Day Training Agency in Canton, OH
• Providers in Canton, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2016; 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.