J.E. Terence Kavanagh,MD,Inc.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

J.E. TERENCE KAVANAGH,MD,INC.

Practice address

2660 South St SE
Warren, OH 44483-6230

Phone

(330) 393-5544

Fax

(330) 393-5546

NPI assigned

Oct 1, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Jane Kavanagh

Title

Office Manager

Phone

(330) 393-5544

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Joseph Edward Terence Kavanagh, M.D.

  • Psychiatry Physician
  • Warren, OH
  • NPI 1215921168
  NPD (past)

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314316800000",
    "number": "1902115454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 SOUTH ST SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836230",
            "telephone_number": "330-393-5544",
            "fax_number": "330-393-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 SOUTH ST SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836230",
            "telephone_number": "330-393-5544",
            "fax_number": "330-393-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J.E. TERENCE KAVANAGH,MD,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-01",
        "last_updated": "2011-08-26",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-393-5544",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0172085",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean-Pierre Iskandar, MD
• Peter Alexander Iskander, M.D
• Amy Lynn Isoldi
• Ashley Lynn Isoldi
• J M Clemente Co
• Alexis Adrianna Jackson
• Andrea Jackson, LPN
• Christian Joself Jackson
• Kimberly Nicole Jackson, D.O.
• Natasha Jackson

• Psychiatry Physician in Warren, OH
• Providers in Warren, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.