Domestic Violence Project, Inc

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

0705 Issued in OH

Legal business name

DOMESTIC VIOLENCE PROJECT, INC

Practice address

720 19TH St NE
Canton, OH 44714-2213

Phone

(330) 491-1351

Fax

(330) 491-9720

NPI assigned

Jun 19, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Melissa L Pearce

Title

Executive Director/Ceo

Phone

(330) 445-2001

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Domestic Violence Project Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Domestic Violence Project, Inc

  • Clinic/Center
  • Canton, OH
  • NPI 1639146095
  NPD tax ID

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie M Evans, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Canton, OH
  • NPI 1609149160
  NPD (past)
• Lynn Rochelle Jimenez, PCC-S

  • Professional Counselor
  • Canton, OH
  • NPI 1497034441
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1376982736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9459",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447119459",
            "telephone_number": "330-445-2001",
            "fax_number": "330-445-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 19TH ST NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447142213",
            "telephone_number": "330-491-1351",
            "fax_number": "330-491-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMESTIC VIOLENCE PROJECT, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-19",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "PEARCE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/CEO",
        "authorized_official_telephone_number": "330-445-2001",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "0705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639146095",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Marie Dolensky
• Max Rein Doll
• Debra L Dolph
• Dana J Domer, P.A.
• Scott Domer, RPH
• Domestic Violence Project, Inc
• Julie Dominik
• Daryl Donald, MD
• Eva Petkac Donnelly, RD/LD
• Christopher Donohue, CRNA

• Adult Mental Health Clinic/Center in Canton, OH
• Providers in Canton, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; 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.