Active NPI
Irene Mary Hargrave
- Behavior Technician
- Youngstown, OH
National Provider Identifier
1972179331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 238 S. Meridian Rd.
Youngstown, OH 44509 - Phone
- (330) 318-3416
- Fax
- (330) 856-5839
- NPI assigned
- May 27, 2021
- Last updated
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
238 S. Meridian Rd.
Youngstown, OH 44509
Mailing address
1702 Cranberry Lane N.E. Apt 159
Warren, OH 44483
Phone (330) 766-5736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RS991312 | Other | OH | DRIVER LICENSE |
Other names 1
- Ms. Irene Mary Bradley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mrb1704@hotmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698796800000",
"number": "1972179331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1702 CRANBERRY LANE N.E. APT 159",
"city": "WARREN",
"state": "OH",
"postal_code": "44483",
"telephone_number": "330-766-5736",
"fax_number": "330-856-5839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 S. MERIDIAN RD.",
"city": "YOUNGSTOWN",
"state": "OH",
"postal_code": "44509",
"telephone_number": "330-318-3416",
"fax_number": "330-856-5839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARGRAVE",
"first_name": "IRENE",
"middle_name": "MARY",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-27",
"last_updated": "2023-11-01",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "RS991312",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mrb1704@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "email",
"address_1": "1704 North Rd SE",
"city": "Warren",
"state": "OH",
"country_code": "US",
"postal_code": "444842958",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "IRENE",
"last_name": "BRADLEY",
"middle_name": "MARY",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Youngstown, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.