Organization Active NPI

Spectrum of Psychiatric and Psychological Services

  • Adult Mental Health Clinic/Center
  • Amherst, OH
National Provider Identifier
1366697963
Registry record updated Nov 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
35.090420 Issued in OH
Legal business name
SPECTRUM OF PSYCHIATRIC AND PSYCHOLOGICAL SERVICES
Practice address
556 N. Leavitt Rd.
Amherst, OH 44001
Phone
(440) 985-7777
NPI assigned
Nov 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2008

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

Authorized official

Name
Dr. Laurie Jo Polubinsky, M.D.
Title
President
Phone
(440) 985-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 35.090420 OH Primary

Addresses

Primary practice location

556 N. Leavitt Rd.
Amherst, OH 44001

Mailing address

556 N. Leavitt Rd.
Amherst, OH 44001
Phone (440) 985-7777

National Provider Directory

National Provider Directory

Locations

556 N Leavitt Rd
Amherst, OH 44001
Phone (419) 985-7777

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1227484800000",
    "number": "1366697963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 N. LEAVITT RD.",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "44001",
            "telephone_number": "440-985-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 N. LEAVITT RD.",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "44001",
            "telephone_number": "440-985-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM OF PSYCHIATRIC AND PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-24",
        "last_updated": "2008-11-24",
        "status": "A",
        "authorized_official_last_name": "POLUBINSKY",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-985-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "35.090420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; 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.