Individual provider Active NPI

Marilena Achim, M.D.

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1710128145
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD 099609 Issued in OH
Practice address
340 S Broadway St
Akron, OH 44308-1529
Phone
(330) 253-3100
Fax
(330) 376-8002
NPI assigned
Mar 16, 2009
Last updated
Oct 1, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD 099609 OH Primary
Psychiatry Physician 2084P0800X MD 443659 PA

Addresses

Primary practice location

340 S Broadway St
Akron, OH 44308-1529

Mailing address

340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100

Other identifiers 2

IdentifierTypeStateIssuer
MD 099609OtherOHSTATE LICENSURE
MD 443659OtherPASTATE LICENSURE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000390 OH Practitioner - Psychiatry 3870740558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 099609OHMDPsychiatry Physician
MD 443659PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Portage Path Community Mental Health Center CurrentSince Aug 13, 2012 Accepting new patients
Portage Path Behavioral Health Past Accepting new patients
Portage Path Behavioral Health Past Accepting new patients

Locations

10 Penfield Ave
Akron, OH 44310
Phone (330) 253-3100

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

105 5th St SE
Ste 6
Barberton, OH 44203
Phone (330) 745-0081

792 Graham Rd
Ste C
Cuyahoga Falls, OH 44221
Phone (330) 253-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349049600000",
    "number": "1710128145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081529",
            "telephone_number": "330-253-3100",
            "fax_number": "330-376-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081529",
            "telephone_number": "330-253-3100",
            "fax_number": "330-376-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHIM",
        "first_name": "MARILENA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2012-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "MD 099609",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD 443659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "MD 099609",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSURE",
            "identifier": "MD 443659",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.