Healthcare Provider Details

I. General information

NPI: 1104989201
Provider Name (Legal Business Name): JEWISH FAMILY SERVICE OF AKRON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 WHITE POND DR
AKRON OH
44320-1128
US

IV. Provider business mailing address

750 WHITE POND DR
AKRON OH
44320-1128
US

V. Phone/Fax

Practice location:
  • Phone: 330-867-3388
  • Fax: 330-867-3396
Mailing address:
  • Phone: 330-867-3388
  • Fax: 330-867-3396

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0001812
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number3399
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0004680
License Number StateOH

VIII. Authorized Official

Name: DR. JUDITH L. ROSENTHAL
Title or Position: EXECUTIVE DIRECTOR
Credential: PHD
Phone: 330-867-3388