Psychiatric and Psychological Service

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

07116 Issued in OH

Legal business name

PSYCHIATRIC AND PSYCHOLOGICAL SERVICE

Practice address

750 S Abbe Rd
Elyria, OH 44035-7246

Phone

(440) 323-5121

Fax

(440) 323-5134

NPI assigned

May 29, 2006

Organization subpart

No

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

Authorized official

Name

Diana Santantonio, ED.S.

Title

Co-Owner

Phone

(440) 323-5121

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1148860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1811944333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S ABBE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357246",
            "telephone_number": "440-323-5121",
            "fax_number": "440-323-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S ABBE RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440357246",
            "telephone_number": "440-323-5121",
            "fax_number": "440-323-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHIATRIC AND PSYCHOLOGICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-29",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "SANTANTONIO",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "440-323-5121",
        "authorized_official_credential": "ED.S."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "07116",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN MIS NUMBER",
            "identifier": "701291000",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PIN",
            "identifier": "104917",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS PIN",
            "identifier": "000000157251",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Starr Lashay Price
• Frederick Jay Prizant, DPM
• Psych & Psych Services, LLC
• Psych & Psych Services, LLC
• Psych & Psych Services, LLC
• Morgan Taylor Puntel, OTR/L
• Pyramed Healthcare Group, LTD
• Kara J Quan, MD
• Elizabeth Radachi, BCABA
• Rakesh Ranjan MD, Assoc, Inc (Charak Center fro Health and Wellness)

• Addiction (Substance Use Disorder) Counselor in Elyria, OH
• Providers in Elyria, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.