NPIMap

Organization Active NPI

Signature Psychiatry Associates Inc

  • Psychiatry Physician
  • Fairlawn, OH
National Provider Identifier
1942684774
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35077432 Issued in OH
Legal business name
SIGNATURE PSYCHIATRY ASSOCIATES INC
Practice address
2820 W Market St
Ste 110
Fairlawn, OH 44333-4043
Phone
(330) 861-3541
NPI assigned
Jul 10, 2015
Last updated
Jul 10, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Authorized official

Name
Anand M Chaturvedi, MDNPI 1700857331
Title
Ceo
Phone
(330) 861-3541

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 35077432 OH Primary

Addresses

Primary practice location

2820 W Market St
Ste 110
Fairlawn, OH 44333-4043

Mailing address

2820 W Market St
Ste 110
Fairlawn, OH 44333-4043
Phone (330) 861-3541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151009000698 OH Part B Supplier - Clinic/Group Practice 2961710017 Receives reassigned benefits from 5 practitioners
Practice locations: Fairlawn, OH

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12054/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1942684774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 W MARKET ST",
            "address_2": "STE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334043",
            "telephone_number": "330-861-3541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 W MARKET ST",
            "address_2": "STE 110",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334043",
            "telephone_number": "330-861-3541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGNATURE PSYCHIATRY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "CHATURVEDI",
        "authorized_official_first_name": "ANAND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-861-3541",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35077432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; 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.