NPIMap

Organization Active NPI

University Primary Care Practices Inc

  • Clinical Child & Adolescent Psychologist
  • Twinsburg, OH
National Provider Identifier
1629227368
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
License
6447 Issued in OH
Legal business name
UNIVERSITY PRIMARY CARE PRACTICES INC
Practice address
8819 Commons Blvd # 101
Twinsburg, OH 44087-2177
Phone
(330) 486-9616
Fax
(330) 486-9621
NPI assigned
Sep 18, 2008
Last updated
Sep 18, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Steve Riddle
Title
Director of Billing Services
Phone
(216) 383-6480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X 6447 OH Primary

Addresses

Primary practice location

8819 Commons Blvd # 101
Twinsburg, OH 44087-2177

Mailing address

PO Box 74511
Cleveland, OH 44194-4511
Phone (330) 486-9619

Other names 1

  • Psychology Other name

National Provider Directory

National Provider Directory
Tax ID family
Uhhs Chagrin Highland U74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

8819 Commons Blvd
Ste 101
Twinsburg, OH 44087
Phone (330) 405-1500

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1629227368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74511",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441944511",
            "telephone_number": "330-486-9619",
            "fax_number": "330-486-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8819 COMMONS BLVD # 101",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440872177",
            "telephone_number": "330-486-9616",
            "fax_number": "330-486-9621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY PRIMARY CARE PRACTICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING SERVICES",
        "authorized_official_telephone_number": "216-383-6480"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "OH",
            "license": "6447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Psychology",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Twinsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.