NPIMap

Organization Active NPI

Northeast Ohio Behavioral Health

  • Mental Health Counselor
  • North Canton, OH
National Provider Identifier
1679699573
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0483 Issued in OH
Legal business name
NORTHEAST OHIO BEHAVIORAL HEALTH
Practice address
4347 Portage St NW
Suite 103
North Canton, OH 44720-7371
Phone
(330) 494-5155
Fax
(330) 494-6868
NPI assigned
Mar 22, 2007
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
Dr. Robin R. Tener, PH.D.NPI 1760545669
Title
Director
Phone
(330) 945-7100

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 0483 OH Primary

Addresses

Primary practice location

4347 Portage St NW
Suite 103
North Canton, OH 44720-7371

Mailing address

2795 Front St
Suite a
Cuyahoga Falls, OH 44221-1900
Phone (330) 945-7100

National Provider Directory

National Provider Directory
Tax ID family
Northeast Ohio Behavioral Health2 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

4347 Portage St NW
Ste 103
North Canton, OH 44720
Phone (330) 494-5155

Practitioners & affiliated clinicians

Practitioners 5

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": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679699573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 FRONT ST",
            "address_2": "SUITE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211900",
            "telephone_number": "330-945-7100",
            "fax_number": "330-945-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4347 PORTAGE ST NW",
            "address_2": "SUITE 103",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207371",
            "telephone_number": "330-494-5155",
            "fax_number": "330-494-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST OHIO BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TENER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-945-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "0483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 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.