Organization Active NPI

Northeast Ohio Applied Health

  • Addiction (Substance Use Disorder) Counselor
  • Macedonia, OH
National Provider Identifier
1427316819
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
NORTHEAST OHIO APPLIED HEALTH
Practice address
8536 Crow Dr Ste 30
Macedonia, OH 44056-1900
Phone
(330) 467-0085
Fax
(330) 467-0094
NPI assigned
Apr 24, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Mr. Darryl Mason
Title
Executive Directer
Phone
(330) 467-0085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary

Addresses

Primary practice location

8536 Crow Dr Ste 30
Macedonia, OH 44056-1900

Mailing address

8536 Crow Dr Ste 30
Macedonia, OH 44056-1900
Phone (330) 467-0085

Other identifiers 1

IdentifierTypeStateIssuer
3115444MedicaidOH

Other names 1

  • NOAH Other name

National Provider Directory

National Provider Directory
Tax ID family
Noah2 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.

Locations

8536 Crow Dr
Ste 30
Macedonia, OH 44056
Phone (330) 467-0085

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1427316819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8536 CROW DR STE 30",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561900",
            "telephone_number": "330-467-0085",
            "fax_number": "330-467-0094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8536 CROW DR STE 30",
            "city": "MACEDONIA",
            "state": "OH",
            "postal_code": "440561900",
            "telephone_number": "330-467-0085",
            "fax_number": "330-467-0094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO APPLIED HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "MASON",
        "authorized_official_first_name": "DARRYL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTER",
        "authorized_official_telephone_number": "330-467-0085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3115444",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NOAH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Macedonia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.