FSR of Parkman LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FSR OF PARKMAN LLC

Practice address

2507 Youngstown Rd SE Ste a
Warren, OH 44484-4402

Phone

(330) 369-8022

NPI assigned

Sep 4, 2025

Organization subpart

No

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

Authorized official

Name

Elizabeth Merritt

Title

Compliance Director

Phone

(330) 369-8022

Specialties & licenses 2

Addresses

Tax ID family

FSR of Parkman LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• FSR of Parkman LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Warren, OH
  • NPI 1487168084
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph Lydon Jr., M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Warren, OH
  • NPI 1598766859
  NPD (past)

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757289600000",
    "number": "1881574424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 YOUNGSTOWN RD SE STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844402",
            "telephone_number": "330-369-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 YOUNGSTOWN RD SE STE A",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444844402",
            "telephone_number": "330-369-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FSR OF PARKMAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "330-369-8022"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Frengel, MSED, LSW
• Fresenius Medical Care Youngstown, LLC
• Nicholas Edward Frisby
• Karen Fritz
• FSR of Parkman LLC
• Ainsley Jo'Alise Fuller
• Senecca Fuller
• Brittany Lynn Fulmer
• Reynaldo C Fulton
• Lori Funkhouser, FNP-BC, PMHNP-BC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Warren, OH
• Providers in Warren, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; 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.