Active NPI
Ursuline Center
- Medical Specialty Clinic/Center
- Youngstown, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Specialty Clinic/Center
- Legal business name
- URSULINE CENTER
- Practice address
- 345 Oak Hill Ave Ste 200
Youngstown, OH 44502 - Phone
- (330) 743-7853
- Fax
- (330) 743-7481
- NPI assigned
- Dec 9, 2013
- Organization subpart
- Yes
- Parent organization
- URSULINE CENTER
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brigid Kennedy
- Title
- Co-Executive Director
- Phone
- (330) 792-7636
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | Primary |
Addresses
Primary practice location
345 Oak Hill Ave Ste 200
Youngstown, OH 44502
Mailing address
4250 Shields Rd
Canfield, OH 44406
Phone (330) 792-7636
Other names 1
- Comprehensive Care Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140512000709 | OH | Part B Supplier - Clinic/Group Practice | 5991938219 |
Receives reassigned benefits from 4 practitioners Practice locations: Youngstown, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D1079663 | Comprehensive Care Center | Certificate of waiver | Feb 4, 2028 |
National Provider Directory
National Provider Directory- Part of
- Ursuline Center
Locations
4250 Shields Rd
Canfield, OH 44406
Phone (330) 792-7636
345 Oak Hill Ave
Ste 201
Youngstown, OH 44502
Phone (330) 743-7853
345 Oak Hill Ave
Ste 400
Youngstown, OH 44502
345 Oak Hill Ave
Fl 2
Youngstown, OH 44502
345 Oak Hill Ave
Ste 200
Youngstown, OH 44502
Phone 3307433333216
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction (Substance Use Disorder) Counselor
- Columbus, OH
- NPI 1679450712
-
- Pastoral Counselor
- Youngstown, OH
- NPI 1700804150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386547200000",
"number": "1710318282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4250 SHIELDS RD",
"city": "CANFIELD",
"state": "OH",
"postal_code": "44406",
"telephone_number": "330-792-7636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 OAK HILL AVE STE 200",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44502",
"telephone_number": "330-743-7853",
"fax_number": "330-743-7481"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URSULINE CENTER",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "URSULINE CENTER",
"enumeration_date": "2013-12-09",
"last_updated": "2013-12-09",
"status": "A",
"authorized_official_last_name": "KENNEDY",
"authorized_official_first_name": "BRIGID",
"authorized_official_title_or_position": "CO-EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "330-792-7636"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Comprehensive Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.