ADDICTION OUTREACH CLINIC LTD – NPI #1356612261
Psychiatry & Neurology

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

Health Care Provider Taxonomy Code for Psychiatry & Neurology

ADDICTION OUTREACH CLINIC LTD is a psychiatry & neurologist located in BOARDMAN, OH. NPPES has assigned the NPI number 1356612261 to ADDICTION OUTREACH CLINIC LTD on January 24, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084A0401X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Addiction Medicine

The NPI profile was previously updated about 3 years ago on Nov 07, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ADDICTION OUTREACH CLINIC LTD below.

NPI Profile for
ADDICTION OUTREACH CLINIC LTD

NPI Number
1356612261
Enumeration Date

(more than 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ADDICTION OUTREACH CLINIC LTD
Primary location
819 MCKAY CT STE 102
BOARDMAN, OH 44512-5771
Phone: (330) 259-4849 Fax: (330) 629-2847
Mailing address
755 BOARDMAN - CANFIELD ROAD
SUITE K-1
YOUNGSTOWN, OH 44512
Phone: (330) 259-4849 Fax: (330) 629-2847
Organization Subpart
No
Authorized Official
NICHOLAS ATANASOFF
MEDICAL DIRECTOR
Phone: (330) 259-4849
Updated
Certification Date
Nov 07, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084A0401X
- Psychiatry & Neurology / Addiction Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.