| Signature Psychiatry Associates Inc | |
|
2820 W Market St Ste 110 Fairlawn OH 44333-4043 | |
| (330) 861-3541 | |
| Not Available |
| Full Name | Signature Psychiatry Associates Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2820 W Market St, Fairlawn, Ohio |
| Authorized Official Name and Position | Anand M Chaturvedi (CEO) |
| Authorized Official Contact | 3308613541 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Psychiatry Associates Inc 2820 W Market St Ste 110 Fairlawn OH 44333-4043 Ph: (330) 861-3541 | Signature Psychiatry Associates Inc 2820 W Market St Ste 110 Fairlawn OH 44333-4043 Ph: (330) 861-3541 |
| NPI Number | 1942684774 |
|---|---|
| Provider Enumeration Date | 07/10/2015 |
| Last Update Date | 07/10/2015 |
| Medicare PECOS PAC ID | 2961710017 |
|---|---|
| Medicare Enrollment ID | O20151009000698 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942684774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35077432 (Ohio) | Primary |
| Provider Name | Anand Mohan Chaturvedi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700857331 PECOS PAC ID: 0446236541 Enrollment ID: I20040629000351 |
| Provider Name | Nicole Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982291530 PECOS PAC ID: 7719394493 Enrollment ID: I20210324002200 |
| Provider Name | Ashley Rose Weber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205536885 PECOS PAC ID: 9436523958 Enrollment ID: I20230324000937 |
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