Western Reserve Care System

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

05-2430 Issued in OH

Legal business name

WESTERN RESERVE CARE SYSTEM

Practice address

500 Gypsy LN
Youngstown, OH 44504-1315

Phone

(330) 884-5879

Fax

(330) 884-5735

NPI assigned

Oct 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Roxia B. Boykin, MPA, RN, CNA

Title

Executive Vice President and Coo

Phone

(330) 884-1025

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669569315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-5879",
            "fax_number": "330-884-5735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "330-884-5879",
            "fax_number": "330-884-5735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN RESERVE CARE SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOYKIN",
        "authorized_official_first_name": "ROXIA",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT AND COO",
        "authorized_official_telephone_number": "330-884-1025",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA, RN, CNA"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "OH",
            "license": "05-2430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9736361",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Octavia West
• Regina D West
• Western Reserve Care System (Tod Children's Hospital)
• Western Reserve Care System
• Western Reserve Care System
• Western Reserve Health Education
• Ray Westhead
• Elizabeth A Weston, DPT
• Westrn Kat Services LLC (Boardman Canfield Hearing Center)
• Christina Wetzel, PA-C

• Psychiatric Hospital Unit in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Psychiatric Hospital Unit in Ohio

• 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.