Fathers and Sons of Northeast Ohio Inc

Primary specialty

Prevention ProfessionalTaxonomy code 405300000X

Legal business name

FATHERS AND SONS OF NORTHEAST OHIO INC

Practice address

213 Glenwood Ave.
Room # 214
Akron, OH 44304

Phone

(330) 548-2319

NPI assigned

Dec 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Andrae D Maze, MBA

Title

Operations Manager

Phone

(216) 287-5031

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638403200000",
    "number": "1730847161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1382 HART ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443061855",
            "telephone_number": "330-548-2319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 GLENWOOD AVE.",
            "address_2": "ROOM # 214",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44304",
            "telephone_number": "330-548-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FATHERS AND SONS OF NORTHEAST OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-02",
        "last_updated": "2021-12-02",
        "certification_date": "2021-11-19",
        "status": "A",
        "authorized_official_last_name": "MAZE",
        "authorized_official_first_name": "ANDRAE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "216-287-5031",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffery D Fashinpaur, CRNA
• Tricia Lynn Fasick, L.P.N.
• Emily Fassnacht
• Patricia Edling Fast, LMT
• Peter N Fata, M.D.
• Rimsha Fatima, M.D.
• Jeana A Faught
• Lily R Faught
• Ryan M Faught, LMBT
• Amy Faul

• Prevention Professional in Akron, OH
• Providers in Akron, OH by specialty
• Prevention Professional in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; 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.