Mahoning Valley Resource Initiative

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

991495 Issued in OH

Legal business name

MAHONING VALLEY RESOURCE INITIATIVE

Practice address

837 Boardman Canfield Rd
Boardman, OH 44512-4233

Phone

(330) 754-1610

NPI assigned

Aug 15, 2017

Organization subpart

No

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

Authorized official

Name

David ShafferNPI 1598292856

Title

Chief Executive Officer

Phone

(330) 565-4203

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• David Shaffer

  • Addiction (Substance Use Disorder) Counselor
  • Boardman, OH
  • NPI 1598292856
  NPD (past) Authorized official

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502755200000",
    "number": "1922524685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 CLINGAN RD",
            "city": "STRUTHERS",
            "state": "OH",
            "postal_code": "444713104",
            "telephone_number": "330-565-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "837 BOARDMAN CANFIELD RD",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445124233",
            "telephone_number": "330-754-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHONING VALLEY RESOURCE INITIATIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-15",
        "status": "A",
        "authorized_official_last_name": "SHAFFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-565-4203"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "991495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mahoing Valley Chiropractic and Spinal Rehabilitation Center Inc
• Misty Mahon, OTA
• Mahoning Home Care, LLC
• Mahoning Valley High Risk Obstetrics, LLC
• Mahoning Valley Hospital, Inc.
• George Maidaa, MD
• Katie Lyn Maillis, PHARMD
• Arlena Main, RBT
• Ray Allen Main Jr., RBT
• Mary Kay Malenic, ST

• Addiction (Substance Use Disorder) Counselor in Boardman, OH
• Providers in Boardman, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; 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.