NPIMap

Organization Active NPI

Psych Foundations, LLC

  • Psychiatry Physician
  • Wadsworth, OH
National Provider Identifier
1871165498
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PSYCH FOUNDATIONS, LLC
Practice address
273 Main St Ste 300
Wadsworth, OH 44281-1494
Phone
(330) 227-4518
NPI assigned
Jul 13, 2021
Last updated
Sep 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Authorized official

Name
Aricka Kesic-Sellers, NPNPI 1518395466
Title
Owner
Phone
(330) 224-0184

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 Primary

Addresses

Primary practice location

273 Main St Ste 300
Wadsworth, OH 44281-1494

Mailing address

273 Main St Ste 300
Wadsworth, OH 44281-1494
Phone (330) 227-4518

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210909001131 OH Part B Supplier - Clinic/Group Practice 5597161026 Receives reassigned benefits from 7 practitioners
Practice locations: Wadsworth, OH

National Provider Directory

National Provider Directory

Locations

1392 High St
Ste 205
Wadsworth, OH 44281
Phone (330) 227-4518

273 Main St
Wadsworth, OH 44281
Phone (330) 331-9203

273 Main St
Ste 300
Wadsworth, OH 44281
Phone (330) 227-4518

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631664000000",
    "number": "1871165498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 MAIN ST STE 300",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811494",
            "telephone_number": "330-227-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 MAIN ST STE 300",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811494",
            "telephone_number": "330-227-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCH FOUNDATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KESIC-SELLERS",
        "authorized_official_first_name": "ARICKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-224-0184",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wadsworth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.