Organization Active NPI

Moses S Ijaz DO

Doing business as Center for Psychiatric Medicine

  • Psychiatry Physician
  • Canton, OH
National Provider Identifier
1588769863
Registry record updated Nov 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MOSES S IJAZ DO
Doing business as
Center for Psychiatric Medicine
Practice address
2600 Tuscarawas St W
Suite 240
Canton, OH 44708
Phone
(330) 453-3967
Fax
(330) 453-7140
NPI assigned
Sep 13, 2006
Last updated
Nov 2, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2007

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

Authorized official

Name
Moses Sujad Ijaz, DONPI 1558325902
Title
Psychiatrist
Phone
(330) 453-3967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

2600 Tuscarawas St W
Suite 240
Canton, OH 44708

Mailing address

PO Box 80690
Canton, OH 44708
Phone (330) 833-5530

Other names 1

  • Center for Psychiatric Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

2600 Tuscarawas St W
Ste 240
Canton, OH 44708
Phone (330) 363-7230

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193961600000",
    "number": "1588769863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80690",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-833-5530",
            "fax_number": "330-833-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 240",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "44708",
            "telephone_number": "330-453-3967",
            "fax_number": "330-453-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSES S IJAZ DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2007-11-02",
        "status": "A",
        "authorized_official_last_name": "IJAZ",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "SUJAD",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "330-453-3967",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center for Psychiatric Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.