NPIMap

Organization Active NPI

Catholic Charities of Ashtabula County

  • Adult Mental Health Clinic/Center
  • Ashtabula, OH
National Provider Identifier
1851352959
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
144 Issued in OH
Legal business name
CATHOLIC CHARITIES OF ASHTABULA COUNTY
Practice address
4200 Park Ave
Floor 3
Ashtabula, OH 44004-6887
Phone
(440) 992-2121
Fax
(440) 992-5974
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Mark J Astorino
Title
Executive Director
Phone
(440) 992-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 144 OH Primary

Addresses

Primary practice location

4200 Park Ave
Floor 3
Ashtabula, OH 44004-6887

Mailing address

4200 Park Ave
Floor 3
Ashtabula, OH 44004-6887
Phone (440) 992-2121

Other identifiers 1

IdentifierTypeStateIssuer
03397MedicaidOH

National Provider Directory

National Provider Directory

Locations

4200 Park Ave
Fl 3
Ashtabula, OH 44004
Phone (440) 992-2121

Practitioners & affiliated clinicians

Practitioners 6

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851352959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "address_2": "FLOOR 3",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046887",
            "telephone_number": "440-992-2121",
            "fax_number": "440-992-5974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 PARK AVE",
            "address_2": "FLOOR 3",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046887",
            "telephone_number": "440-992-2121",
            "fax_number": "440-992-5974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHOLIC CHARITIES OF ASHTABULA COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASTORINO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-992-2121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03397",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashtabula, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.