Pure Mental Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE MENTAL BEHAVIORAL HEALTH

Practice address

765 West St
Wadsworth, OH 44281-1676

Phone

(330) 861-8110

NPI assigned

Apr 22, 2025

Organization subpart

No

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

Authorized official

Name

Donovan JacksonNPI 1710666938

Title

Ceo

Phone

(330) 861-8110

Specialties & licenses 1

Addresses

Practitioners 1

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

• Donovan Jackson

  • Case Manager/Care Coordinator
  • Wadsworth, OH
  • NPI 1710666938
  NPD Authorized official

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1891582078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "765 WEST ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 WEST ST",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811676",
            "telephone_number": "330-861-8110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE MENTAL BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONOVAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-861-8110"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Prince
• Prosperity Counseling Services LLC
• Psych Foundations, LLC
• Ayesha Punjabi, MD
• Kenneth William Purdy
• Charles M Queen
• R & B Medical Supply Services, Inc.
• Radiology and Imaging Services, Inc
• Joshua D Raines, D.O.
• Jennifer Marie Rainey, MSW, LSW

• Community/Behavioral Health Agency in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• Community/Behavioral Health Agency in Ohio

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