Organization Active NPI

Cfpa LLC

  • Psychologist
  • Cuyahoga Falls, OH
National Provider Identifier
1780987461
Registry record updated Dec 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
CFPA LLC
Practice address
822 Portage TRL
Cuyahoga Falls, OH 44221-3053
Phone
(330) 923-9344
Fax
(866) 248-1103
NPI assigned
Dec 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2010

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

Authorized official

Name
Dr. David J Coleman, PH.D.NPI 1750379384
Title
Psychologist
Phone
(330) 923-9344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

822 Portage TRL
Cuyahoga Falls, OH 44221-3053

Mailing address

822 Portage TRL
Cuyahoga Falls, OH 44221-3053
Phone (330) 923-9344

Other names 1

  • Child & Family Psychological Associates Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170410001688 OH Part B Supplier - Clinic/Group Practice 7810273604 Receives reassigned benefits from 4 practitioners
Practice locations: Cuyahoga Falls, OH

National Provider Directory

National Provider Directory

Locations

822 Portage Trl
Ste 2
Cuyahoga Falls, OH 44221
Phone (330) 923-9344

822 Portage Trl
Cuyahoga Fls, OH 44221
Phone (330) 923-9344

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1292544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292544000000",
    "number": "1780987461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "330-923-9344",
            "fax_number": "866-248-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PORTAGE TRL",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213053",
            "telephone_number": "330-923-9344",
            "fax_number": "866-248-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CFPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-17",
        "last_updated": "2010-12-17",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-923-9344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Child & Family Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.