Organization Active NPI

Tiffany H. Mohn Psychology LLC

  • Clinical Psychologist
  • Canfield, OH
National Provider Identifier
1649613803
Registry record updated Apr 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6802 Issued in OH
Legal business name
TIFFANY H. MOHN PSYCHOLOGY LLC
Practice address
6715 Tippecanoe Rd Ste 100
Canfield, OH 44406-8180
Phone
(330) 286-0462
Fax
(330) 286-0436
NPI assigned
Apr 8, 2013
Last updated
Apr 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2013

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

Authorized official

Name
Dr. Tiffany H. Mohn, PSY DNPI 1568740595
Title
President
Phone
(330) 286-0462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 6802 OH Primary

Addresses

Primary practice location

6715 Tippecanoe Rd Ste 100
Canfield, OH 44406-8180

Mailing address

6715 Tippecanoe Rd Ste 100
Canfield, OH 44406-8180
Phone (330) 286-0462

National Provider Directory

National Provider Directory

Locations

6715 Tippecanoe Rd
Bldg D
Canfield, OH 44406
Phone (330) 286-0462

6715 Tippecanoe Rd
Ste 100
Canfield, OH 44406
Phone (330) 286-0462

Practitioners & affiliated clinicians

Practitioners 2

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": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365379200000",
    "number": "1649613803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD STE 100",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-286-0462",
            "fax_number": "330-286-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 TIPPECANOE RD STE 100",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444068180",
            "telephone_number": "330-286-0462",
            "fax_number": "330-286-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY H. MOHN PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2013-04-08",
        "status": "A",
        "authorized_official_last_name": "MOHN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-286-0462",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.