PORTAGE PATH BEHAVIORAL HEALTH (NPI# 1881643633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881643633 |
| Entity Type | Organization |
| Organization Name | PORTAGE PATH BEHAVIORAL HEALTH |
| Practice Address |
10 Penfield Ave Akron OH 44310-2912 |
| Mailing Address |
340 S Broadway St Akron OH 44308-1529 |
| Practice Telephone | 3307626110 |
| Practice Fax Number | 3302535248 |
| Mailing Telephone | 3302533100 |
| Mailing Fax Number | 3302535248 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JERRY T KRAKER (PRESIDENT) |
| Authorized Official Telephone | 3302533100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114492147 | Portage Path Behavioral Health | Clinic/Center | 340 S Broadway St, Akron, OH 44308-1529 | 2018-10-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PORTAGE PATH BEHAVIORAL HEALTH | 340 S Broadway St, Akron, OH 44308-1529 |
| Street Address |
10 PENFIELD AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44310-2912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053951293 | Karin Sue Adkins | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2020-01-15 |
| 1770128506 | Tiffany Miller | Psychiatry & Neurology | 10 Penfield Ave, Akron, OH 44310-2912 | 2019-11-15 |
| 1508400409 | Lindsey Walls | Counselor | 10 Penfield Ave, Akron, OH 44310-2912 | 2019-11-04 |
| 1780239871 | Amanda Marunich | Counselor | 10 Penfield Ave, Akron, OH 44310-2912 | 2019-08-06 |
| 1124513684 | Lindsay Katherine Stone | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-06-27 |
| 1073008538 | Dean Schmaltz | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-06-27 |
| 1427543982 | Amber Lekse | Counselor | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-06-27 |
| 1174018790 | Megan Liane Lachowski | Counselor | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-06-26 |
| 1346735966 | Raquel Marsh | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-06-26 |
| 1043708225 | Kimberly Stringer | Registered Nurse | 10 Penfield Ave, Akron, OH 44310-2912 | 2018-04-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| 1457311466 | Greenleaf Family Center | Clinic/Center | 580 Grant St, Akron, OH 44311-9910 | 2006-03-24 |
| 1639705833 | Clear Space Supervision & Consulting LLC | Clinic/Center | 1303 Autumn Ln, Akron, OH 44333-2101 | 2020-03-19 |
| 1669007472 | Here for You Enterprise Inc | Clinic/Center | 2180 Romig Rd, Akron, OH 44320-3879 | 2020-03-12 |
| 1700354479 | Alonda Rene Brazile | Clinic/Center | 564 Diagonal Rd, Akron, OH 44320-3010 | 2018-11-11 |
| 1548736143 | Urban Ounce of Prevention Behavioral Health Services, Incorporated | Clinic/Center | 1735 S Hawkins Ave Ste A, Akron, OH 44320-3902 | 2018-10-22 |
| 1114492147 | Portage Path Behavioral Health | Clinic/Center | 340 S Broadway St, Akron, OH 44308-1529 | 2018-10-05 |
| 1821248626 | Psychotherapy Inc. | Clinic/Center | 1655 W Market St, Akron, OH 44313-7004 | 2008-09-29 |
| 1225087802 | Portage Path Community Mental Health Center | Clinic/Center | 340 S Broadway St, Akron, OH 44308-1529 | 2006-05-09 |
| 1952371403 | Blick Clinic, Inc. | Clinic/Center | 640 W Market St, Akron, OH 44303-1413 | 2006-01-26 |
| 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.