The Center for Individual and Family Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

0190 Issued in OH

Legal business name

THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES, INC.

Doing business as

Catalyst Life Services

Practice address

741 Scholl Rd
Mansfield, OH 44907-1571

Phone

(419) 756-1717

Fax

(419) 774-5955

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Laura Elizabeth Montgomery

Title

Ceo

Phone

(419) 774-6705

Specialties & licenses 4

Addresses

Other identifiers 4

Other names 1

• Catalyst Life Services Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• The Center for Individual & Family Services, Inc.

  dba Catalyst Life Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
  • NPI 1568722171

  Member Of

  NPD member

Practitioners 28

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

• Karrie Kay Burriss, CNP, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, OH
  • NPI 1174758320
  Medicare reassignment Care Compare group NPD
• Todd Lee Curtis, PC

  • Professional Counselor
  • Wooster, OH
  • NPI 1023355526
  Medicare reassignment Care Compare group NPD
• Hannah R Finley

  • Nurse Practitioner
  • Mansfield, OH
  • NPI 1275168734
  Medicare reassignment Care Compare group NPD
• Paul Hasenauer

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1053600338
  Medicare reassignment Care Compare group NPD
• Nicole Christine Kimble, LISW

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1699015487
  Medicare reassignment Care Compare group NPD
• Debbie Marie Marshall, PHMNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, OH
  • NPI 1639315831
  Medicare reassignment Care Compare group NPD
• Debra Joyce Panke, D.O.

  • Child & Adolescent Psychiatry Physician
  • Mansfield, OH
  • NPI 1548393531
  Medicare reassignment Care Compare group NPD
• Dylan Pelham

  • Social Worker
  • Mansfield, OH
  • NPI 1053775478
  Medicare reassignment Care Compare group NPD
• Alyse Schroeder, LISW

  • Social Worker
  • Mansfield, OH
  • NPI 1710497847
  Medicare reassignment Care Compare group NPD
• Frances I. Swarn, M.D.

  • Psychiatry Physician
  • Mansfield, OH
  • NPI 1508983537
  Medicare reassignment Care Compare group NPD
• Lisa A Vousden, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Shelby, OH
  • NPI 1467788505
  Medicare reassignment Care Compare group NPD
• Amy M Watson, LISW

  • Clinical Social Worker
  • Mansfield, OH
  • NPI 1801506951
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680739200000",
    "number": "1487669222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-756-1717",
            "fax_number": "419-774-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571",
            "telephone_number": "419-756-1717",
            "fax_number": "419-774-5955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Sterkel Blvd",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071508",
            "country_code": "US",
            "telephone_number": "419-756-1133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95 E 1st St",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449022088",
            "country_code": "US",
            "telephone_number": "419-756-1717",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "31 E Main St",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448751262",
            "country_code": "US",
            "telephone_number": "419-342-2449",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "142 N Gamble St Ste G",
            "address_purpose": "LOCATION",
            "city": "Shelby",
            "state": "OH",
            "postal_code": "448752114",
            "country_code": "US",
            "telephone_number": "419-342-2449",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2023-04-06",
        "certification_date": "2023-04-06",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-774-6705"
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "0190",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "4158",
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "OH",
            "license": "5-1724,5-0237,6-1980",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "136852000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS",
            "identifier": "4158",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0201230",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "9212121",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catalyst Life Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Center for Individual & Family Services, Inc.
• The Center for Individual & Family Services, Inc. (Catalyst Life Services)
• The Center for Individual and Family Services
• The Center for Individual and Family Services
• The Center for Individual and Family Services (DBA The Rehab Center)
• The Cleveland Clinic Foundation (Cleveland Clinic Park Ave West)
• The Cleveland Clinic Foundation (CC Mansfield Cancer Center Pharmacy)
• The Cleveland Clinic Foundation (Cleveland Clinic Mansfield Cancer Center Pharmacy)
• The Hope Home of Richland Couty
• The Kroger Co (Kroger Pharmacy)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.