Psychological Health Center & Alcoholism Treatment Program, Inc.

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

1436 Issued in OH

Legal business name

PSYCHOLOGICAL HEALTH CENTER & ALCOHOLISM TREATMENT PROGRAM, INC.

Practice address

6315 Pearl Rd
Suite 207
Parma Heights, OH 44130-3074

Phone

(440) 845-9061

Fax

(440) 845-9062

NPI assigned

Mar 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gintautas Z. Sabataitis, PH.D.

Title

President

Phone

(440) 845-9061

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1205798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205798400000",
    "number": "1740451756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6315 PEARL RD",
            "address_2": "SUITE 207",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303074",
            "telephone_number": "440-845-9061",
            "fax_number": "440-845-9062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6315 PEARL RD",
            "address_2": "SUITE 207",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441303074",
            "telephone_number": "440-845-9061",
            "fax_number": "440-845-9062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL HEALTH CENTER & ALCOHOLISM TREATMENT PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-18",
        "last_updated": "2008-03-18",
        "status": "A",
        "authorized_official_last_name": "SABATAITIS",
        "authorized_official_first_name": "GINTAUTAS",
        "authorized_official_middle_name": "Z.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-845-9061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "OH",
            "license": "1436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1093784811",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251561",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J. Petro, DDS
• Jennifer A Phillips, C-NP
• Carmen Popa, MD
• Thomas Albert Porter, PSY.S.
• Karen Ann Powell
• Doreen Lea Pyrtko, LPN
• Anju Rai
• Jennifer Ramsey, COTA/L
• Dayna Rasberry
• Vanetta Redding

• Preferred Provider Organization in Parma Heights, OH
• Providers in Parma Heights, OH by specialty
• Preferred Provider Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; 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.