NPIMap

Individual provider Active NPI

Ronald Yendrek, DO

  • Psychiatry Physician
  • Warren, OH
National Provider Identifier
1306888771
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
34-00-5024-4 Issued in OH
Practice address
150 E Market St
Warren, OH 44481-1141
Phone
(330) 394-6244
Fax
(330) 394-6029
NPI assigned
Jun 12, 2006
Last updated
Dec 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 34-00-5024-4 OH Primary
Addiction Psychiatry Physician 2084P0802X 34-00-5024-4 OH
Child & Adolescent Psychiatry Physician 2084P0804X 34-00-5024-4 OH
Geriatric Psychiatry Physician 2084P0805X 34-00-5024-4 OH

Addresses

Primary practice location

150 E Market St
Warren, OH 44481-1141

Mailing address

150 E Market St
Warren, OH 44481-1141
Phone (330) 395-6244

Other identifiers 1

IdentifierTypeStateIssuer
0637289MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428001066 OH Practitioner - PsychiatryPractitioner - Addiction Medicine 5597752873 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Addiction Medicine
Education
Ohio University, College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ravenwood Mental Health CenterGroup PAC ID 6901813922, 57 clinicians

Practice addresses (Care Compare)

12557 Ravenwood Dr
Chardon, OH 44024-9009
Phone (440) 285-3568

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5024OHMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Jan 31, 2022 Accepting new patients
Partners Physician Group Psychiatry CurrentSince Jan 31, 2022 Accepting new patients
Psycare Inc Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Portage Path Community Mental Health Center Past Accepting new patients
Psycare, Inc. Psychiatry Past Accepting new patients
Comprehensive Psychiatry Specialists Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

Interoperability endpoints

  • Direct secure messaging: ryendrekdo@7889b014.micromddirect.com

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1306888771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-395-6244",
            "fax_number": "330-394-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 E MARKET ST",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444811141",
            "telephone_number": "330-394-6244",
            "fax_number": "330-394-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YENDREK",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34-00-5024-4",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "34-00-5024-4",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34-00-5024-4",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "OH",
            "license": "34-00-5024-4",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0637289",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.