Organization Active NPI

Potential Development Program

  • Local Education Agency (LEA)
  • Youngstown, OH
National Provider Identifier
1497196513
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
License
132878 Issued in OH
Legal business name
POTENTIAL DEVELOPMENT PROGRAM
Practice address
Potential Development Program
2405 Market St
Youngstown, OH 44507
Phone
(234) 855-1278
Fax
(330) 746-4008
NPI assigned
Jul 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Mr. Michael Thomas
Title
Treasurer
Phone
(234) 855-1278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X 132878 OH Primary

Addresses

Primary practice location

Potential Development Program
2405 Market St
Youngstown, OH 44507

Mailing address

Potential Development Program
2405 Market St
Youngstown, OH 44507
Phone (330) 746-7641

National Provider Directory

National Provider Directory

Locations

2405 Market St
Youngstown, OH 44507
Phone (234) 855-1278

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1374019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1497196513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POTENTIAL DEVELOPMENT PROGRAM",
            "address_2": "2405 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44507",
            "telephone_number": "330-746-7641",
            "fax_number": "330-746-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "POTENTIAL DEVELOPMENT PROGRAM",
            "address_2": "2405 MARKET ST",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44507",
            "telephone_number": "234-855-1278",
            "fax_number": "330-746-4008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTENTIAL DEVELOPMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-17",
        "last_updated": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "234-855-1278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "OH",
            "license": "132878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.