NPIMap

Organization Active NPI

4Kidhelp Inc

  • Adolescent and Children Mental Health Clinic/Center
  • Canton, OH
National Provider Identifier
1235451477
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
4KIDHELP INC
Practice address
4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776
Phone
(330) 433-1300
Fax
(330) 494-0828
NPI assigned
Feb 15, 2010
Last updated
Apr 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Authorized official

Name
Thomas Lehman Reynolds, MDNPI 1447293147
Title
Owner
Phone
(330) 433-1300

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
Adolescent and Children Mental Health Clinic/Center 261QM0855X NU Primary

Addresses

Primary practice location

4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776

Mailing address

4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776
Phone (330) 433-1300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170216002274 OH Part B Supplier - Clinic/Group Practice 3870876816 Receives reassigned benefits from 5 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4368 Dressler Rd NW
Ste 103
Canton, OH 44718
Phone (330) 433-1300

Practitioners & affiliated clinicians

Practitioners 12

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": "1266192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713225600000",
    "number": "1235451477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182776",
            "telephone_number": "330-433-1300",
            "fax_number": "330-494-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182776",
            "telephone_number": "330-433-1300",
            "fax_number": "330-494-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "4KIDHELP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-15",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "LEHMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-433-1300",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.