NPIMap

Organization Active NPI

Blick Clinic, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Akron, OH
National Provider Identifier
1952371403
Registry record updated May 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BLICK CLINIC, INC.
Doing business as
Blick Clinic, Inc.
Practice address
274 White Pond Dr
Akron, OH 44320-1118
Phone
(330) 762-5425
Fax
(330) 762-4019
NPI assigned
Jan 26, 2006
Last updated
May 10, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
BLICK CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 10, 2026

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

Authorized official

Name
Jan N Phillips
Title
Billing MGR
Phone
(330) 762-5425

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OH Primary

Addresses

Primary practice location

274 White Pond Dr
Akron, OH 44320-1118

Mailing address

274 White Pond Dr
Akron, OH 44320-1118
Phone (330) 762-5425

Other identifiers 2

IdentifierTypeStateIssuer
0140OtherOHODMH CERTIFICATION NUMBER
0318442MedicaidOH

Other names 2

  • Blick Clinic, Inc. Doing business as
  • The Blick Organization Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000406 OH Part B Supplier - Clinic/Group Practice 6709771843 Receives reassigned benefits from 20 practitioners
3 other NPIs on this enrollment
Practice locations: Akron, OH

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Blick Clinic for Dev Di4 organizations share this tax ID, including this one
Part of
Blick Clinic for Dev Di

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778371200000",
    "number": "1952371403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "274 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201118",
            "telephone_number": "330-762-5425",
            "fax_number": "330-762-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "274 WHITE POND DR",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443201118",
            "telephone_number": "330-762-5425",
            "fax_number": "330-762-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLICK CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BLICK CLINIC, INC.",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-05-10",
        "certification_date": "2026-05-10",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "BILLING MGR",
        "authorized_official_telephone_number": "330-762-5425"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ODMH CERTIFICATION NUMBER",
            "identifier": "0140",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0318442",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blick Clinic, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Blick Organization",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "The Blick Organization",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2026; 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.