NCC Associates, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

NCC ASSOCIATES, LLC

Practice address

2421 Lake Ave
Ashtabula, OH 44004-4953

Phone

(440) 992-9429

Fax

(440) 992-6196

NPI assigned

Jul 31, 2008

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

NORTH COAST CENTER, INC.As reported in NPPES

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

Authorized official

Name

Jonathan Lee

Title

Executive Director

Phone

(440) 953-9999

Specialties & licenses 1

Addresses

Part of

Signature Health Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• The North Coast Center

  • Community/Behavioral Health Agency
  • Ashtabula, OH
  • NPI 1043340946
  NPPES parent name

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1447416391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38879 MENTOR AVE",
            "address_2": "SUITE C",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "440947992",
            "telephone_number": "440-953-9999",
            "fax_number": "440-918-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440044953",
            "telephone_number": "440-992-9429",
            "fax_number": "440-992-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NCC ASSOCIATES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH COAST CENTER, INC.",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-953-9999"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.