Individual provider Active NPI

Vincent Paolone, MD

  • Psychiatry Physician
  • Boardman, OH
National Provider Identifier
1619069739
Registry record updated Mar 22, 2021
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Nov 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35066876 Issued in OH
Practice address
8166 Market St
Unit B
Boardman, OH 44512-6262
Phone
(330) 758-8528
Fax
(330) 758-8529
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35066876 OH Primary

Addresses

Primary practice location

8166 Market St
Unit B
Boardman, OH 44512-6262

Mailing address

8166 Market St
Unit B
Boardman, OH 44512-6262
Phone (330) 758-8528

Other identifiers 1

IdentifierTypeStateIssuer
2066142MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35066876OHMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616371200000",
    "number": "1619069739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8166 MARKET ST",
            "address_2": "UNIT B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126262",
            "telephone_number": "330-758-8528",
            "fax_number": "330-758-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8166 MARKET ST",
            "address_2": "UNIT B",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126262",
            "telephone_number": "330-758-8528",
            "fax_number": "330-758-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAOLONE",
        "first_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35066876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2066142",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boardman, OH

Sources for this page

Verify at the official NPI Registry.