NPIMap

Organization Active NPI

Ohio Psychiatry Specialists, LLC

  • Adult Mental Health Clinic/Center
  • Parma, OH
National Provider Identifier
1639502529
Registry record updated Nov 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
OHIO PSYCHIATRY SPECIALISTS, LLC
Practice address
6115 Powers Blvd
Suite 204, Medical Arts Center 4
Parma, OH 44129-5471
Phone
(440) 743-2128
Fax
(440) 743-2122
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2013

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

Authorized official

Name
Dr. Alf Bergman, M.D.
Title
Owner
Phone
(216) 644-3785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6115 Powers Blvd
Suite 204, Medical Arts Center 4
Parma, OH 44129-5471

Mailing address

6115 Powers Blvd
Suite 204, Medical Arts Center 4
Parma, OH 44129-5471
Phone (440) 743-2128

National Provider Directory

National Provider Directory

Locations

4807 Rockside Rd
Ste 300
Independence, OH 44131
Phone (216) 503-9489

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385078400000",
    "number": "1639502529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "SUITE 204, MEDICAL ARTS CENTER 4",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-743-2128",
            "fax_number": "440-743-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 POWERS BLVD",
            "address_2": "SUITE 204, MEDICAL ARTS CENTER 4",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295471",
            "telephone_number": "440-743-2128",
            "fax_number": "440-743-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OHIO PSYCHIATRY SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-11-22",
        "status": "A",
        "authorized_official_last_name": "BERGMAN",
        "authorized_official_first_name": "ALF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "216-644-3785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; 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.