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PSYCARE INC. NPI 1073659603


NPI Information

NPI: 1073659603
Provider Name: PSYCARE, INC.
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
997 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512
Phone: (330) 758-0101
Get Directions

PSYCARE, INC. is a clinical psychologist in Boardman, OH. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PSYCARE, INC. NPI is 1073659603. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

997 BOARDMAN CANFIELD RD
BOARDMAN, OH
ZIP 44512-223
Phone: (330) 758-0101
Fax: (330) 758-0128

The provider's authorized official is Chris Heltzel .
The authorized official title is Billing Clerk and has the following contact phone number (330) 856-6663.

The enumeration date for this NPI number is 1/30/2007 and was last updated on 1/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalOHIONo
2103T00000XPsychologistOHIONo
3103TC1900XPsychologistCounselingOHIONo
4104100000XSocial WorkerOHIONo
51041C0700XSocial WorkerClinicalOHIONo
62084P0800XPsychiatry & NeurologyPsychiatryOHIONo
72084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryOHIONo
8103TC0700XPsychologistClinical202OHIONo
91041C0700XSocial WorkerClinicalI 0005770OHIONo
10103TC1900XPsychologistCounselingE 2309OHIONo
11101YP2500XCounselorProfessional0004100OHIONo
12101YP2500XCounselorProfessionalE4004OHIONo
13101YP2500XCounselorProfessionalE 500055OHIONo
141041C0700XSocial WorkerClinicalI. 0005770OHIONo
15103TC0700XPsychologistClinicalOHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
19219952MEDICARE PINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.