MS. SUSAN ISHIYAMA (NPI# 1285764274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285764274 |
| Entity Type | Individual |
| Full Name | MS. SUSAN ISHIYAMA |
| Credential | MD |
| Practice Address |
919 2nd St Ne Canton OH 44704-1132 |
| Mailing Address |
9352 Chesapeake Dr North Royalton OH 44133-1775 |
| Practice Telephone | 3305882636 |
| Practice Fax Number | 3304527509 |
| Mailing Telephone | 3305882636 |
| Mailing Fax Number | 3304527509 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
35.080308 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2901186 | 05 |
| Street Address |
919 2ND ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44704-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831172576 | Child and Adolescent Behavioral Health | Case Management | 919 2nd St Ne, Canton, OH 44704-1132 | 2005-11-28 |
| 1326649112 | Stephen Higgins | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-11-06 |
| 1720694847 | Joanna C Mitchell | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-09-23 |
| 1538787163 | Moriah Hope Howes | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-07-09 |
| 1700404795 | Alexis Falb | Student in an Organized Health Care Education/Training Program | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-07-07 |
| 1124645643 | Caren Ann Lennon-ream | Registered Nurse | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-06-30 |
| 1609490135 | Kristen Redhead | Social Worker | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-06-01 |
| 1851914535 | Max Rein Doll | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-05-28 |
| 1801415666 | Victoria Gem Medla | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-04-13 |
| 1255966503 | Alyson A Candea | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961047 | Ebony Michelle Sheeler | Home Health Aide | 910 Lippert Rd Ne, Canton, OH 44704 | 2018-11-18 |
| 1366935421 | Krystal Marie Robinson | Home Health | 920 Second Street N.e., Canton, OH 44704 | 2018-06-12 |
| 1356889315 | Shamika James | Home Health Aide | 308 Grant Ct Ne, Canton, OH 44704 | 2017-02-09 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1336428713 | Danene Kirksey | Clinical Nurse Specialist | 2323 Penn Place Northeast, Canton, OH 44704 | 2011-08-16 |
| 1144541749 | Jeremy Micheal Maher | Case Manager/Care Coordinator | 919 Second St. N.e., Canton, OH 44704 | 2010-06-17 |
| 1528294378 | Melanie Singhaus | Community/Behavioral Health | 919 Second St. N. E., Canton, OH 44704 | 2009-06-08 |
| 1225125743 | John Lee Thomas | Registered Nurse | 1827 2nd St Ne, Canton, OH 44704 | 2006-10-06 |
| 1548618655 | Allison Markham-strahsburg | Case Manager/Care Coordinator | 919 Second St. N.e., Canton, OH 44704 | 2016-05-31 |
| 1063701894 | Stacy Lynn Tucci | Pharmacist | 114 12th St Ne, Canton, OH 44704-1024 | 2011-04-01 |
| Find all providers in zip 44704 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| 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. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447293147 | Thomas Lehman Reynolds | Psychiatry & Neurology | 4368 Dressler Rd. Nw, Canton, OH 44718 | 2006-06-13 |
| 1346371705 | Antoine Gabriel | Psychiatry & Neurology | 80 State Highway 310 Ste 1, Canton, NY 13617-1436 | 2007-03-08 |
| 1285723692 | Gene Gilbert | Psychiatry & Neurology | 1455 Harrison Ave Nw, Suite 207, Canton, OH 44708-2621 | 2006-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.