Organization Active NPI

Far West Center

  • Adult Mental Health Clinic/Center
  • Amherst, OH
National Provider Identifier
1639135940
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
FAR WEST CENTER
Practice address
554 N Leavitt Rd
Amherst, OH 44001-1131
Phone
(440) 988-4900
Fax
(440) 988-4910
NPI assigned
Apr 25, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Daniel Fayette Radocaj
Title
VP of Financial Systems
Phone
(440) 835-6212

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

554 N Leavitt Rd
Amherst, OH 44001-1131

Mailing address

29133 Health Campus Dr
BLDG. 4
Westlake, OH 44145-5256
Phone (440) 835-6212

Other identifiers 1

IdentifierTypeStateIssuer
0308483MedicaidOH

Other names 1

  • SUBPART LOCATION - AMHERST Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031211001100 OH Part B Supplier - Clinic/Group Practice 1153227848 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westlake, OH; Amherst, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

29133 Health Campus Dr
Westlake, OH 44145
Phone (440) 835-6212

29133 Health Campus Dr
Bldg 4
Westlake, OH 44145
Phone (440) 835-6212

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639135940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29133 HEALTH CAMPUS DR",
            "address_2": "BLDG. 4",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455256",
            "telephone_number": "440-835-6212",
            "fax_number": "440-835-6231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 N LEAVITT RD",
            "city": "AMHERST",
            "state": "OH",
            "postal_code": "440011131",
            "telephone_number": "440-988-4900",
            "fax_number": "440-988-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAR WEST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RADOCAJ",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "FAYETTE",
        "authorized_official_title_or_position": "VP OF FINANCIAL SYSTEMS",
        "authorized_official_telephone_number": "440-835-6212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0308483",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUBPART LOCATION - AMHERST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Amherst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.