NPIMap

Organization Active NPI

Spectrum Consulting Services

  • Community/Behavioral Health Agency
  • Lorain, OH
National Provider Identifier
1780095588
Registry record updated May 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S-0016958 Issued in OH
Legal business name
SPECTRUM CONSULTING SERVICES
Practice address
129 W 4TH St
Lorain, OH 44052-1601
Phone
(440) 654-4714
NPI assigned
May 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2014

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

Authorized official

Name
Rebecca Prusak
Title
Business Manager
Phone
(440) 654-4714

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X OH1093982 OH
Developmentally Disabled Services Day Training Agency 251C00000X S-0016958 OH
Community/Behavioral Health Agency 251S00000X S-0016958 OH Primary
Early Intervention Provider Agency 252Y00000X OH1093982 OH
Non-emergency Medical Transport (VAN) 343900000X RS052920 OH
Private Vehicle 347C00000X RS052920 OH

Addresses

Primary practice location

129 W 4TH St
Lorain, OH 44052-1601

Mailing address

129 W 4TH St
Lorain, OH 44052-1601
Phone (440) 654-4714

National Provider Directory

National Provider Directory

Locations

129 W 4th St
Lorain, OH 44052
Phone (440) 654-4174

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1780095588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W 4TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521601",
            "telephone_number": "440-654-4714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W 4TH ST",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440521601",
            "telephone_number": "440-654-4714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "PRUSAK",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "440-654-4714"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "OH1093982",
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "OH",
            "license": "S-0016958",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S-0016958",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "OH",
            "license": "OH1093982",
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "OH",
            "license": "RS052920",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "OH",
            "license": "RS052920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.