Organization Active NPI

Professional Perspectives Partnership, Inc.

  • Counseling Psychologist
  • Canton, OH
National Provider Identifier
1932264785
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
4438 Issued in OH
Legal business name
PROFESSIONAL PERSPECTIVES PARTNERSHIP, INC.
Practice address
4450 Belden Village St NW
Ste. 202
Canton, OH 44718-2596
Phone
(330) 492-8494
Fax
(330) 492-8294
NPI assigned
Dec 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Authorized official

Name
Dr. Mary Kathleen Prospero, PH.D.
Title
Psychologist
Phone
(330) 492-8494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC1900X 4438 OH Primary

Addresses

Primary practice location

4450 Belden Village St NW
Ste. 202
Canton, OH 44718-2596

Mailing address

4450 Belden Village St NW
Ste. 202
Canton, OH 44718-2596
Phone (330) 492-8494

Other identifiers 1

IdentifierTypeStateIssuer
0215378MedicaidOH

National Provider Directory

National Provider Directory

Locations

4450 Belden Village St NW
Ste 202
Canton, OH 44718
Phone (330) 492-8494

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1932264785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW",
            "address_2": "STE. 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182596",
            "telephone_number": "330-492-8494",
            "fax_number": "330-492-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 BELDEN VILLAGE ST NW",
            "address_2": "STE. 202",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182596",
            "telephone_number": "330-492-8494",
            "fax_number": "330-492-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL PERSPECTIVES PARTNERSHIP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "PROSPERO",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "330-492-8494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "OH",
            "license": "4438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0215378",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.