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NPI Code Detail

MEDICARE: PSY-CARE INC

MEDICARE: PSY-CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor
3103T00000XPsychologist
4103TC0700XClinical Psychologist
5103TF0200XForensic Psychologist
61041C0700XClinical Social Worker
7106H00000XMarriage & Family Therapist
82084P0005XNeurodevelopmental Disabilities Physician
92084P0800XPsychiatry Physician
102084P0804XChild & Adolescent Psychiatry Physician
11363LP0808XPsychiatric/Mental Health Nurse Practitioner
12261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396705349
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSY-CARE INC
Provider Business Mailing Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Provider Business Practice Location Address
First Line : 2980 BELMONT AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44505-1834
Country : US
Telephone Number : 330-759-2310
Fax Number : 330-759-0018
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : LORRAINE KELLY
Credential : MS, LPCC-S
Telephone Number : 330-759-2310
Provider Enumeration Date : 03/24/2006
Last Update Date : 01/27/2022

Similar Medicare Providers

1235659764 — ROCHELLE RICHARDSON MS ED
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-2310
Practice Fax: 330-759-0018
1013993153 — DR. ROSE M QUINONES-DELVALLE PHD, LPCC, LSW, NCC
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-1295
Practice Fax: 330-782-2330
1477567063 — JAMIE M HAIN CNP
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-2310
Practice Fax: 330-759-0018
1336230309 — LORRAINE KELLY MS, LPCC-S
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-2310
Practice Fax: 330-759-0018
1659462570 — PHYLLIS KORPI LPCC
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-2310
Practice Fax: 330-759-0018
1699866525 — TERRI YENDREK LPC
Practice Location Address:
2980 BELMONT AVE
YOUNGSTOWN, OH
44505-1834
Practice Phone: 330-759-2310
Practice Fax: 330-759-0018

Directions to “PSY-CARE INC ” Practice Location

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