The Rich Center for Autism @Ysu

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP8310

Legal business name

THE RICH CENTER FOR AUTISM @YSU

Practice address

One University Plaza
Youngstown, OH 44555

Phone

(330) 941-1927

Fax

(330) 941-4670

NPI assigned

Mar 6, 2009

Last updated

Mar 6, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

YOUNGSTOWN STATE UNIVERSITYAs reported in NPPES

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

Authorized official

Name

Ms. J. Georgia Backus

Title

Director

Phone

(330) 941-4669

Specialties & licenses 3

Addresses

Tax ID family

The Rich Center for Autism Ysu3 organizations share this tax ID, including this one

Part of

The Rich Center for Autism Ysu

Other organizations with this tax ID 2

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

• Youngstown State University

  • Student Health Clinic/Center
  • Youngstown, OH
  • NPI 1497030159
  NPD tax ID
• Youngstown State University Student Health

  • Student Health Clinic/Center
  • Youngstown, OH
  • NPI 1538570494
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Youngstown State University

  • Student Health Clinic/Center
  • Youngstown, OH
  • NPI 1497030159
  NPPES parent name

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

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1902046725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY PLAZA",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44555",
            "telephone_number": "330-941-1927",
            "fax_number": "330-941-4670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE UNIVERSITY PLAZA",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44555",
            "telephone_number": "330-941-1927",
            "fax_number": "330-941-4670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RICH CENTER FOR AUTISM @YSU",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN STATE UNIVERSITY",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "GEORGIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-941-4669",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-05585",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": "SP8310",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "OH",
            "license": "294860851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Speech-Language Pathologist in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; 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.