NPIMap

Organization Active NPI

Allied Behavioral Health Services, Incorporated

  • Psychologist
  • Fairview Park, OH
National Provider Identifier
1902984248
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALLIED BEHAVIORAL HEALTH SERVICES, INCORPORATED
Practice address
22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone
(440) 734-4037
Fax
(440) 734-4710
NPI assigned
Nov 2, 2006
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Matthew Anthony Capezzuto, PHD, LISW-SNPI 1609972017
Title
Executive Director
Phone
(440) 734-4037

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

22540 Lorain Rd
Fairview Park, OH 44126-2212

Mailing address

22540 Lorain Rd
Fairview Park, OH 44126-2212
Phone (440) 734-4037

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061117000155 OH Part B Supplier - Clinic/Group Practice 5092713529 Receives reassigned benefits from 14 practitioners
Practice locations: Fairview Park, OH; Lorain, OH; Medina, OH

National Provider Directory

National Provider Directory
Tax ID family
Allied Behavioral Health Services Incorporated2 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.

Locations

1740 Cooper Foster Park Rd W
Lorain, OH 44053
Phone (440) 282-1221

3644 Oberlin Ave
Lorain, OH 44053
Phone (440) 252-1383

246 W Liberty St
Medina, OH 44256
Phone (330) 293-0660

23792 Lorain Rd
Ste 100
North Olmsted, OH 44070
Phone (440) 734-4037

253 S Canfield Niles Rd
Ste A
Youngstown, OH 44515
Phone (330) 787-8800

Practitioners & affiliated clinicians

Practitioners 32

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.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1902984248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037",
            "fax_number": "440-734-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22540 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262212",
            "telephone_number": "440-734-4037",
            "fax_number": "440-734-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED BEHAVIORAL HEALTH SERVICES, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "CAPEZZUTO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "440-734-4037",
        "authorized_official_credential": "PHD, LISW-S"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.