NPIMap

Organization Active NPI

Steward Northside Medical Center, Inc.

  • Psychiatric Hospital Unit
  • Youngstown, OH
National Provider Identifier
1700310208
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
Legal business name
STEWARD NORTHSIDE MEDICAL CENTER, INC.
Practice address
500 Gypsy LN
Youngstown, OH 44504-1315
Phone
(330) 884-3223
NPI assigned
Apr 12, 2017
Organization subpart
Yes
Parent organization
STEWARD NORTHSIDE MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Authorized official

Name
John Doyle
Title
Cfo
Phone
(469) 341-8804

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X Primary

Addresses

Primary practice location

500 Gypsy LN
Youngstown, OH 44504-1315

Mailing address

1900 N Pearl St Ste 2400
Dallas, TX 75201-2470
Phone (469) 341-8800

National Provider Directory

National Provider Directory
Tax ID family
Steward Northside Medical Center Inc2 organizations share this tax ID, including this one
Part of
Steward Northside Medical Center Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1700310208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 N PEARL ST STE 2400",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012470",
            "telephone_number": "469-341-8800"
        },
        {
            "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": "330-884-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEWARD NORTHSIDE MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STEWARD NORTHSIDE MEDICAL CENTER, INC.",
        "enumeration_date": "2017-04-12",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "469-341-8804"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngstown, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.