Greater Canton Psychiatry, LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

GREATER CANTON PSYCHIATRY, LLC

Practice address

4773 Higbee Ave NW
Canton, OH 44718-2551

Phone

(330) 492-6500

Fax

(330) 492-6502

NPI assigned

Jul 11, 2014

Organization subpart

No

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

Authorized official

Name

Dr. John Vraciu, DONPI 1962638239

Title

Psychiatrist

Phone

(330) 492-6500

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• John Michael Vraciu, D.O.

  • Child & Adolescent Psychiatry Physician
  • Canton, OH
  • NPI 1962638239
  Medicare reassignment Care Compare group NPD Authorized official
• Kristin Nicole Hiltner, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1689006892
  Medicare reassignment Care Compare group NPD
• Heidi Renee Vraciu, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1144328105
  Medicare reassignment Care Compare group NPD
• Sherin Ilene Thurman, APRN-CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
  • NPI 1639804990
  Medicare reassignment NPD

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

{
    "created_epoch": "1405036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649203200000",
    "number": "1528474459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4773 HIGBEE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182551",
            "telephone_number": "330-492-6500",
            "fax_number": "330-492-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CANTON PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-11",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A",
        "authorized_official_last_name": "VRACIU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "330-492-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis Paul Gray, MSN, CRNA
• Jillian Graybill, LPN
• Audrey Graytok
• Mira Bethany Grcevich
• Great Lakes DME, LLC
• David Greaves, CT
• Joscelyn L Greaves, CNP
• Kirk Greaves
• Greavu Transportation Inc
• Ileana Anca Greavu, PA

• Child & Adolescent Psychiatry Physician in Canton, OH
• Providers in Canton, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.