Organization Active NPI

Mind Care Ohio LLC

  • Clinical Psychologist
  • Hudson, OH
National Provider Identifier
1891275830
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6778 Issued in OH
Legal business name
MIND CARE OHIO LLC
Practice address
56 Milford Dr Ste 410
Hudson, OH 44236-2771
Phone
(330) 608-0410
NPI assigned
Aug 20, 2018
Last updated
Aug 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

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

Authorized official

Name
Dr. Tara Tozzi Michalik
Title
Principal/Clinical Psychologist
Phone
(330) 608-0410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 6778 OH Primary

Addresses

Primary practice location

56 Milford Dr Ste 410
Hudson, OH 44236-2771

Mailing address

56 Milford Dr Ste 410
Hudson, OH 44236-2771

National Provider Directory

National Provider Directory

Locations

56 Milford Dr
Ste 410
Hudson, OH 44236
Phone (330) 608-0410

Practitioners & affiliated clinicians

Practitioners 1

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": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534723200000",
    "number": "1891275830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 MILFORD DR STE 410",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 MILFORD DR STE 410",
            "city": "HUDSON",
            "state": "OH",
            "postal_code": "442362771",
            "telephone_number": "330-608-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND CARE OHIO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A",
        "authorized_official_last_name": "TOZZI MICHALIK",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRINCIPAL/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-608-0410",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.