NPIMap

Organization Active NPI

New Horizons Psychiatric Counseling and Pain Management Services LLC

Doing business as Ikemefuna Nkanginieme MD

  • Psychiatry Physician
  • Canton, OH
National Provider Identifier
1861597148
Registry record updated May 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW HORIZONS PSYCHIATRIC COUNSELING AND PAIN MANAGEMENT SERVICES LLC
Doing business as
Ikemefuna Nkanginieme MD
Practice address
4735 Belpar St NW
Canton, OH 44718-3648
Phone
(330) 493-9822
Fax
(330) 493-9816
NPI assigned
Sep 13, 2006
Last updated
May 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2012

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

Authorized official

Name
Ikemefuna Nkanginieme, MDNPI 1972524049
Title
President
Phone
(330) 493-9822

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

4735 Belpar St NW
Canton, OH 44718-3648

Mailing address

4735 Belpar St NW
Canton, OH 44718-3648
Phone (330) 493-9822

Other names 1

  • Ikemefuna Nkanginieme MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050602000068 OH Part B Supplier - Clinic/Group Practice 7012950918 Receives reassigned benefits from 7 practitioners
Practice locations: Canton, OH

National Provider Directory

National Provider Directory

Locations

4450 Belden Village St NW
Ste 215
Canton, OH 44718
Phone (330) 493-8337

4735 Belpar St NW
Canton, OH 44718
Phone (330) 417-9552

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337212800000",
    "number": "1861597148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183648",
            "telephone_number": "330-493-9822",
            "fax_number": "330-493-9816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 BELPAR ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183648",
            "telephone_number": "330-493-9822",
            "fax_number": "330-493-9816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW HORIZONS PSYCHIATRIC COUNSELING AND PAIN MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-05-17",
        "status": "A",
        "authorized_official_last_name": "NKANGINIEME",
        "authorized_official_first_name": "IKEMEFUNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-493-9822",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ikemefuna Nkanginieme MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2012; 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.