Organization Active NPI

Holistic Psychiatry

  • Adult Mental Health Clinic/Center
  • Parma, OH
National Provider Identifier
1316340458
Registry record updated Nov 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
COA.16196 Issued in OH
Legal business name
HOLISTIC PSYCHIATRY
Practice address
6115 Powers Blvd
Medical Arts Center 4, Suite 204
Parma, OH 44129
Phone
(440) 743-2128
Fax
(440) 743-2122
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2014

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

Authorized official

Name
Theresa Ann Hovanec, PMHNP
Title
Pmhnp/Owner
Phone
(440) 867-8283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X COA.16196 OH Primary

Addresses

Primary practice location

6115 Powers Blvd
Medical Arts Center 4, Suite 204
Parma, OH 44129

Mailing address

13637 Cedar Rd
University Heights, OH 44118-2639
Phone (440) 867-8283

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415318400000",
    "number": "1316340458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13637 CEDAR RD",
            "city": "UNIVERSITY HEIGHTS",
            "state": "OH",
            "postal_code": "441182639",
            "telephone_number": "440-867-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "MEDICAL ARTS CENTER 4, SUITE 204",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "44129",
            "telephone_number": "440-743-2128",
            "fax_number": "440-743-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-11-07",
        "status": "A",
        "authorized_official_last_name": "HOVANEC",
        "authorized_official_first_name": "THERESA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PMHNP/OWNER",
        "authorized_official_telephone_number": "440-867-8283",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "COA.16196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2014; 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.