Nicholas A Atanasoff, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

34007837 Issued in OH

Practice address

819 McKay CT Ste 102
Boardman, OH 44512-5771

Phone

(330) 259-4849

Fax

(330) 629-2847

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

R Franklin University of Med & Sci/Chicago Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Addiction Outreach Clinic LTD 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Addiction Outreach Clinic LTD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Boardman, OH
  • NPI 1356612261

  OH, Psychiatry

  Medicare reassignment Care Compare group NPD Authorized official
• Nicholas a Atanasoff DO

  • Psychiatry Physician
  • Boardman, OH
  • NPI 1164605077

  Psychiatry

  NPD (past) Authorized official

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699315200000",
    "number": "1992762264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8090 MARKET ST",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445126216",
            "telephone_number": "330-629-2596",
            "fax_number": "330-629-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 MCKAY CT STE 102",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125771",
            "telephone_number": "330-259-4849",
            "fax_number": "330-629-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATANASOFF",
        "first_name": "NICHOLAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2023-11-07",
        "certification_date": "2023-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "34007837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2509888",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Associates in Nephrology, LTD
• Associates in Psychiatry, Inc.
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• Associates in Pulmonary Medicine
• At Home Nursing
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• Aura Genetics of Ohio, LLC
• Jessica Harriman Austin, DO
• Austintown Podiatry Associates Inc
• Avad Care LLC

• All providers in Boardman, OH
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.