Spectrum Developmental Services, Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

SPECTRUM DEVELOPMENTAL SERVICES, INCORPORATED

Practice address

1830 Portage TRL Ste a
Cuyahoga Falls, OH 44223-1741

Phone

(330) 957-9713

NPI assigned

Dec 29, 2020

Last updated

Dec 29, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Todd Wetzel

Title

Ceo

Phone

(330) 957-9713

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1780271437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 KENT DR",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781453",
            "telephone_number": "330-957-9713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 PORTAGE TRL STE A",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442231741",
            "telephone_number": "330-957-9713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM DEVELOPMENTAL SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "WETZEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-957-9713",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052402",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rosa Sharon Somerville, LMT
• Audrey Lynn Sookoo, D.D.S.
• Emmanuel Sosa-Lopez, DPM
• Kathryn Soudry, M.A.
• Dmitri Souza, M.D., PH.D.
• Brittany Spencer, OTR/L
• Delila Spencer
• Brandis Latwan Sperling, RN
• Elizabeth G Spillan, CNP
• Rachel Lynn Spiteri

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Cuyahoga Falls, OH
• Providers in Cuyahoga Falls, OH by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.