Organization Active NPI

Senior Care Behavioral Health Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Calcutta, OH
National Provider Identifier
1497338297
Registry record updated Oct 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SENIOR CARE BEHAVIORAL HEALTH ASSOCIATES, LLC
Practice address
48444 Bell School Rd
Calcutta, OH 43920-9646
Phone
(330) 385-7100
Fax
(330) 385-8434
NPI assigned
Apr 30, 2021
Last updated
Oct 4, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2021

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

Authorized official

Name
Joseph Cilone Jr.
Title
Authorized Official
Phone
(330) 565-1097

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Development & Aging Psychologist 103TA0700X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

48444 Bell School Rd
Calcutta, OH 43920-9646

Mailing address

5741 Shields Rd Ste B
Canfield, OH 44406-9814
Phone (330) 565-1097

Other practice location 1

5741 Shields Rd Ste B
Canfield, OH 44406-9814
Phone (330) 559-5115

Other practice location 2

9184 Market St
North Lima, OH 44452-9558
Phone (330) 965-9200

Other practice location 3

648 Longhorn St NW
Carrollton, OH 44615-9469
Phone (330) 627-5501

Other practice location 4

9928 Vail Dr
Twinsburg, OH 44087-2972
Phone (330) 405-6040

Other practice location 5

871 Elmwood Dr
Hubbard, OH 44425-9701
Phone (330) 568-8127

National Provider Directory

National Provider Directory

Locations

5741 Shields Rd
Ste B
Canfield, OH 44406
Phone (330) 559-5115

9928 Vail Dr
Twinsburg, OH 44087
Phone (330) 405-6040

NPI Registry JSON

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

{
    "created_epoch": "1619740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1497338297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5741 SHIELDS RD STE B",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069814",
            "telephone_number": "330-565-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48444 BELL SCHOOL RD",
            "city": "CALCUTTA",
            "state": "OH",
            "postal_code": "439209646",
            "telephone_number": "330-385-7100",
            "fax_number": "330-385-8434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5741 Shields Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Canfield",
            "state": "OH",
            "postal_code": "444069814",
            "country_code": "US",
            "telephone_number": "330-559-5115",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9184 Market St",
            "address_purpose": "LOCATION",
            "city": "North Lima",
            "state": "OH",
            "postal_code": "444529558",
            "country_code": "US",
            "telephone_number": "330-965-9200",
            "fax_number": "330-965-9547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "648 Longhorn St NW",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "OH",
            "postal_code": "446159469",
            "country_code": "US",
            "telephone_number": "330-627-5501",
            "fax_number": "330-627-3649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9928 Vail Dr",
            "address_purpose": "LOCATION",
            "city": "Twinsburg",
            "state": "OH",
            "postal_code": "440872972",
            "country_code": "US",
            "telephone_number": "330-405-6040",
            "fax_number": "330-405-6041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "871 Elmwood Dr",
            "address_purpose": "LOCATION",
            "city": "Hubbard",
            "state": "OH",
            "postal_code": "444259701",
            "country_code": "US",
            "telephone_number": "330-568-8127",
            "fax_number": "330-568-8084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SENIOR CARE BEHAVIORAL HEALTH ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-30",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A",
        "authorized_official_last_name": "CILONE",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "330-565-1097",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calcutta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.