NPIMap

Organization Active NPI

Catholic Charities Services Corporation

Doing business as Catholic Charities Services of Wayne County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wooster, OH
National Provider Identifier
1659328557
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CATHOLIC CHARITIES SERVICES CORPORATION
Doing business as
Catholic Charities Services of Wayne County
Practice address
521 Beall Ave
Wooster, OH 44691-3589
Phone
(330) 262-7836
Fax
(330) 262-2867
NPI assigned
May 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom Woll
Title
Executive Director
Phone
(440) 843-5501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

521 Beall Ave
Wooster, OH 44691-3589

Mailing address

521 Beall Ave
Wooster, OH 44691-3589
Phone (330) 262-7836

Other identifiers 1

IdentifierTypeStateIssuer
10041MedicaidOH

Other names 1

  • Catholic Charities Services of Wayne County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Catholic Charities Serv29 organizations share this tax ID, including this one

Other organizations with this tax ID 28

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

View all 28

Locations

521 Beall Ave
Wooster, OH 44691
Phone (330) 262-7836

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659328557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836",
            "fax_number": "330-262-2867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446913589",
            "telephone_number": "330-262-7836",
            "fax_number": "330-262-2867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLL",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-843-5501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10041",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Catholic Charities Services of Wayne County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.