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GREATER CANTON PSYCHIATRY LLC NPI 1528474459


NPI Information

NPI: 1528474459
Provider Name: GREATER CANTON PSYCHIATRY, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

CLIA Number: 36D2099953

Address:
4848 HIGBEE AVE NW
CANTON, OH
ZIP 44718
Phone: (330) 492-6500
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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:

4848 HIGBEE AVE NW
CANTON, OH
ZIP 44718-528
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) 324-0023.

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 7/11/2014.


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 & 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: 11/14/2023

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