NPIMap

Organization Active NPI

Ace Sports Psychiatry LLC

  • Adult Mental Health Clinic/Center
  • Pepper Pike, OH
National Provider Identifier
1316317191
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
34.008563 Issued in OH
Legal business name
ACE SPORTS PSYCHIATRY LLC
Practice address
8 Brandywood Dr
Pepper Pike, OH 44124-5501
Phone
(216) 785-1009
NPI assigned
Oct 5, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Dr. Mayur Pandya, DO
Title
Director
Phone
(216) 785-1009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 34.008563 OH Primary

Addresses

Primary practice location

8 Brandywood Dr
Pepper Pike, OH 44124-5501

Mailing address

8 Brandywood Dr
Pepper Pike, OH 44124-5501
Phone (216) 785-1009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1316317191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BRANDYWOOD DR",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245501",
            "telephone_number": "216-785-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BRANDYWOOD DR",
            "city": "PEPPER PIKE",
            "state": "OH",
            "postal_code": "441245501",
            "telephone_number": "216-785-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACE SPORTS PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "PANDYA",
        "authorized_official_first_name": "MAYUR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "216-785-1009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "34.008563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pepper Pike, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.