PERKINS SQUARE HEALTH SERVICES INC (NPI# 1518025170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518025170 |
| Entity Type | Organization |
| Organization Name | PERKINS SQUARE HEALTH SERVICES INC |
| Other Organization Name | INSTITUTE FOR THE ADVANCEMENT OF HUMAN SERVICES INC |
| Practice Address |
93 West Exchange Street Akron OH 44308-1040 |
| Practice Telephone | 3307627248 |
| Practice Fax Number | 3307620665 |
| Mailing Telephone | 3307627248 |
| Mailing Fax Number | 3307620665 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. BEVERLY J DEARTH (DIRECTOR) |
| Authorized Official Telephone | 3307627250 |
| Authorized Official Credential | PSYCHOLOGIST |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
1131 | OH | Behavioral Health & Social Service Providers |
| X | 207Q00000X | Family Medicine | 35037421 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0586727 | 05 |
| Other Name | Type Code |
|---|---|
| Institute for the Advancement of Human Services Inc | Former Legal Business Name - Organization |
| Street Address |
93 WEST EXCHANGE STREET |
| City | AKRON |
| State | OH |
| Zip Code | 44308-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225255011 | Satkari Jash | Internal Medicine | 93 West Exchange Street, Akron, OH 44308-1040 | 2007-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285267096 | Terrence Shambley | Specialist/Technologist | 333 S Mainst Suite 607, Akron, OH 44308 | 2020-02-20 |
| 1750865028 | Christian Bates | Case Manager/Care Coordinator | 333 S.main Street, Akron, OH 44308 | 2018-09-21 |
| 1558854471 | Sheryl Alyssa Mendoza | Case Manager/Care Coordinator | 333 S Main St Ste 607333, Akron, OH 44308 | 2018-06-14 |
| 1033608260 | Angela Leigh Capuano Fant | Student in an Organized Health Care Education/Training Program | 340 South Broadway Street, Akron, OH 44308 | 2018-05-03 |
| 1639686918 | Crystal Louise Mann | Counselor | 90 N Summit St, Akron, OH 44308 | 2018-01-08 |
| 1174074173 | Jameela Hawkins | Counselor | 333 S Main St Ste 607, Akron, OH 44308 | 2016-10-14 |
| 1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
| 1407105596 | Rebecca Wasserman Lieb | Psychologist | 215 W. Bowery Street, Consodine Professional Building, Akron, OH 44308 | 2012-09-05 |
| 1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
| 1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
| Find all providers in zip 44308 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750838140 | Megan Conrad | Psychologist | 444 North Main Street, Suite 420, Akron, OH 44310 | 2016-09-02 |
| 1083962823 | Brittain E Lamoureux | Psychologist | 444 N Main St Ste 420, Akron, OH 44310-3110 | 2012-08-28 |
| 1689938540 | Matthew Vincent Paris | Psychologist | 747 Hampton Ridge Dr, Akron, OH 44313-8138 | 2012-06-26 |
| 1538393186 | Thomas M Anuszkiewicz | Psychologist | 702 Woodledge Drive, Marion Psychological Inc., Akron, OH 44313-5913 | 2009-05-12 |
| 1124237029 | Juanita K Martin | Psychologist | 306 Simmons Hall, University of Akron, Akron, OH 44325-4303 | 2007-05-21 |
| 1295882488 | Summit Academy Management | Psychologist | 2791 Mogadore Rd, Akron, OH 44312 | 2007-01-03 |
| 1235243056 | Dawn Lord | Psychologist | 2810 Forest View Dr, Akron, OH 44333-2700 | 2006-08-18 |
| 1295772739 | Joseph R Wasdovich | Psychologist | 72 Everett Ave, Akron, OH 44302-1040 | 2006-06-01 |
| 1114976701 | Summit Psychological Associates, Inc. | Psychologist | 37 N Broadway St, Akron, OH 44308-1910 | 2006-05-09 |
| 1568422202 | Norman R Jentner | Psychologist | 1092 Avon St, Akron, OH 44310-1360 | 2006-03-25 |
| Find all providers in AKRON | ||||
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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.