CANTON CHILD NEUROLOGY LLC – NPI #1912700394
Psychiatry & Neurology

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.

CANTON CHILD NEUROLOGY LLC is a psychiatry & neurologist located in CANTON, OH. NPPES has assigned the NPI number 1912700394 to CANTON CHILD NEUROLOGY LLC on March 31, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0402X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology

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 CANTON CHILD NEUROLOGY LLC below.

NPI Profile for
CANTON CHILD NEUROLOGY LLC

NPI Number
1912700394
Enumeration Date

(more than a year 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
CANTON CHILD NEUROLOGY LLC
Primary location
4186 HOLIDAY ST NW
CANTON, OH 44718-2532
Phone: (216) 534-9800 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
VIVEKANAND VELUCHAMY
DIRECTOR
Phone: (216) 534-9980
Updated
Certification Date
Mar 31, 2025

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
2084N0402X
- Psychiatry & Neurology / Neurology with Special Qualifications in Child Neurology (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.