Copley Counseling Centre Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

COPLEY COUNSELING CENTRE INC

Practice address

908 Sahara TRL
Suite 2
Poland, OH 44514-3667

Phone

(330) 726-2965

Fax

(330) 726-0449

NPI assigned

Oct 26, 2007

Last updated

Aug 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lynn Dimarzio, PHDNPI 1417961459

Title

Dr.

Phone

(330) 726-2965

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 4

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.

• Lynn R. Dimarzio, PHD

  • Psychologist
  • Boardman, OH
  • NPI 1417961459
  Medicare reassignment Care Compare group Authorized official
• Susan K Yoder, PHD

  • Psychologist
  • Boardman, OH
  • NPI 1104844190
  Medicare reassignment Care Compare group
• Gerard William Cerimele, PH.D.

  • Clinical Neuropsychologist
  • Youngstown, OH
  • NPI 1295920304
  Medicare reassignment
• Bradford Hetzler Price, PH.D.

  • Professional Counselor
  • Poland, OH
  • NPI 1609000173
  NPD (past)

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724025600000",
    "number": "1215116264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "831 SOUTHWESTERN RUN STE 2",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143694",
            "telephone_number": "330-726-2965",
            "fax_number": "330-726-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SAHARA TRL",
            "address_2": "SUITE 2",
            "city": "POLAND",
            "state": "OH",
            "postal_code": "445143667",
            "telephone_number": "330-726-2965",
            "fax_number": "330-726-0449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COPLEY COUNSELING CENTRE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-26",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "DIMARZIO",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "330-726-2965",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ciccolelli, L.P.N.,A.S.P.T.
• Christopher Paul Clautti, DC/ACUP
• Carol Ann Coler, LPN
• Medea Lynn Coler
• Kathryn Ann Conrad, RN
• Michael Robert Coppola
• Alessandra Jovan Corradi, PT, DPT
• Costa Rehab & Wellness LLC
• Anthony J Costa Jr., PT, DPT
• Savanah Craig, DDS

• Psychologist in Poland, OH
• Providers in Poland, OH by specialty
• Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; 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.