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PHYSICIAN SERVICES OF OHIO LLC NPI 1205053709


NPI Information

NPI: 1205053709
Provider Name: PHYSICIAN SERVICES OF OHIO LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

Address:
2527 MACNAUGHTEN ST NW
NORTH CANTON, OH
ZIP 44720
Phone: (330) 361-0908
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PHYSICIAN SERVICES OF OHIO LLC is a psychiatry psychiatry neurology in North Canton, OH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. PHYSICIAN SERVICES OF OHIO LLC NPI is 1205053709. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2527 MACNAUGHTEN ST NW
NORTH CANTON, OH
ZIP 44720-529
Phone: (330) 361-0908
Fax: (330) 305-6762

The provider's authorized official is Javedul Haque .
The authorized official title is Medical Director and has the following contact phone number (330) 361-0908.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 7/24/2007.


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
12084P0800XPsychiatry & NeurologyPsychiatry35081681OHIOYes

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
12527402MEDICAIDOHIO

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: 4/28/2024

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