George R Mascarella, CPRS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004177 Issued in OH

Practice address

725 Boardman Canfield Rd Ste C4
Youngstown, OH 44512-4367

Phone

(855) 292-9778

NPI assigned

Jul 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Broadway Recovery Services, Inc.

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1619692332
  NPD
• Broadway Recovery Services, Inc.

  • Substance Abuse Rehabilitation Facility
  • Youngstown, OH
  • NPI 1861017683
  NPD

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

{
    "created_epoch": "1689811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689811200000",
    "number": "1851071252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE C4",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124367",
            "telephone_number": "855-292-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BOARDMAN CANFIELD RD STE C4",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445124367",
            "telephone_number": "855-292-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCARELLA",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "CPRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-20",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Marucci, LISW
• Kaileigh Maruna
• Mary Ann Echols, PHD
• Christine S Marzich, MD
• Brooke Mascarella
• Nicole M Mascari-Flynn
• Medford Benny Mashburn, M.D.
• Dragan Masic, DNP-CRNA
• Dominique Mason
• Durrell Lewis Mason

• Peer Specialist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2023; 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.