NPIMap

Organization Active NPI

North Canton Medical Foundation

Doing business as Child & Adolescent Psychiatry

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • North Canton, OH
National Provider Identifier
1649383340
Registry record updated Mar 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
NORTH CANTON MEDICAL FOUNDATION
Doing business as
Child & Adolescent Psychiatry
Practice address
6513 Frank Ave NW
North Canton, OH 44720-7265
Phone
(330) 433-1300
Fax
(330) 494-0828
NPI assigned
Aug 16, 2006
Last updated
Mar 13, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2009

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

Authorized official

Name
Mr. Timothy J. Murphy
Title
Cfo
Phone
(330) 433-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X Primary

Addresses

Primary practice location

6513 Frank Ave NW
North Canton, OH 44720-7265

Mailing address

6046 Whipple Ave NW
North Canton, OH 44720-7616
Phone (330) 433-1200

Other identifiers 1

IdentifierTypeStateIssuer
2084A0401XOtherTAXONOMY

Other names 1

  • Child & Adolescent Psychiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Canton Med Clin C2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6513 Frank Ave NW
North Canton, OH 44720
Phone (330) 433-1300

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236902400000",
    "number": "1649383340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6046 WHIPPLE AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207616",
            "telephone_number": "330-433-1200",
            "fax_number": "330-305-5047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6513 FRANK AVE NW",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207265",
            "telephone_number": "330-433-1300",
            "fax_number": "330-494-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH CANTON MEDICAL FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2009-03-13",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-433-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAXONOMY",
            "identifier": "2084A0401X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child & Adolescent Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2009; 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.