GREATER CANTON PSYCHIATRY LLC NPI 1528474459

NPI Information

  • NPI: 1528474459
  • Provider Name: GREATER CANTON PSYCHIATRY, LLC
  • Classification: Psychiatry & Neurology - 2084P0804X
  • Specialization: Child & Adolescent Psychiatry
  • Entity Type: Organization
  • CLIA Number: 36D2099953
  • Address: 4773 HIGBEE AVE NW
    CANTON, OH
    ZIP 44718
  • Phone: (330) 492-6500

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NPI Details

GREATER CANTON PSYCHIATRY, LLC is a child and adolescent psychiatry psychiatry neurology in Canton, OH. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. GREATER CANTON PSYCHIATRY, LLC NPI is 1528474459. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4773 HIGBEE AVE NW
CANTON, OH
ZIP 44718-551
Phone: (330) 492-6500
Fax: (330) 492-6502

The provider's authorized official is John Vraciu .
The authorized official title is Psychiatrist and has the following contact phone number (330) 492-6500.

The CLIA number assigned to this NPI record is 36D2099953 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2014 and was last updated on 4/6/2022.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

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: 11/21/2025

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