| Addiction Outreach Clinic Ltd | |
|
819 Mckay Ct Ste 102 Boardman OH 44512-5771 | |
| (330) 259-4849 | |
| (330) 629-2847 |
| Full Name | Addiction Outreach Clinic Ltd |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 819 Mckay Ct Ste 102, Boardman, Ohio |
| Authorized Official Name and Position | Nicholas Anthony Atanasoff (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3302594849 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Outreach Clinic Ltd 755 Boardman - Canfield Road Suite K-1 Youngstown OH 44512 Ph: (330) 259-4849 | Addiction Outreach Clinic Ltd 819 Mckay Ct Ste 102 Boardman OH 44512-5771 Ph: (330) 259-4849 |
| NPI Number | 1356612261 |
|---|---|
| Provider Enumeration Date | 01/24/2012 |
| Last Update Date | 11/07/2023 |
| Certification Date | 11/07/2023 |
| Medicare PECOS PAC ID | 5294183893 |
|---|---|
| Medicare Enrollment ID | O20231120003360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356612261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
| Provider Name | Joseph B Masternick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669491569 PECOS PAC ID: 1658269089 Enrollment ID: I20040308001050 |
| Provider Name | Russell A Morrison |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699773259 PECOS PAC ID: 2163311374 Enrollment ID: I20040315000709 |
| Provider Name | Nicholas A Atanasoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992762264 PECOS PAC ID: 2365433208 Enrollment ID: I20040520000338 |
| Provider Name | Vincent A Marino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093791691 PECOS PAC ID: 1850314857 Enrollment ID: I20060105000111 |
| Provider Name | Matthew Gugliotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144456476 PECOS PAC ID: 7618000936 Enrollment ID: I20100805001119 |
| Provider Name | Joshua Daniel Grund |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043614910 PECOS PAC ID: 3577886712 Enrollment ID: I20141219001469 |
| Provider Name | Denise Frindt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689055634 PECOS PAC ID: 5496062473 Enrollment ID: I20150923003379 |
| Provider Name | Susan Ruby Sammons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720522493 PECOS PAC ID: 7911289434 Enrollment ID: I20170118001289 |
| Provider Name | Douglas Stevens |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013474824 PECOS PAC ID: 8325022957 Enrollment ID: I20190425001317 |
| Provider Name | Sarah Deiger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003260613 PECOS PAC ID: 8628402930 Enrollment ID: I20191219001156 |
Comprehensive Psychiatry Group Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 955 Windham Ct, Suite 2, Boardman, OH 44512 Phone: 330-726-9570 Fax: 330-726-9031 | |
Psycare, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 997 Boardman Canfield Rd, Boardman, OH 44512 Phone: 330-758-0101 Fax: 330-758-0128 | |
Travco Behavioral Health, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8261 Market St Ste A, Boardman, OH 44512 Phone: 330-286-0050 Fax: 330-286-0055 | |
Deborah L Sano Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 7010 South Ave Ste 5, Boardman, OH 44512 Phone: 330-953-0373 Fax: 330-953-1373 | |
Nicholas A Atanasoff Do Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8090 Market St, Boardman, OH 44512 Phone: 330-629-2596 | |
Maximo B. Lockward, M.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6714 Market St, Suite 1, Boardman, OH 44512 Phone: 330-965-5850 | |
Mindful Connections Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6775 Applewood Blvd Ste 1b, Boardman, OH 44512 Phone: 330-967-9950 |