| Child Guidance & Family Solutions | |
|
18 N Forge St Akron OH 44304 | |
| (330) 762-0591 | |
| (330) 762-2242 |
| Full Name | Child Guidance & Family Solutions |
|---|---|
| Speciality | Clinic/Center |
| Location | 18 N Forge St, Akron, Ohio |
| Authorized Official Name and Position | Terry Neaville (CONTOLLER) |
| Authorized Official Contact | 3307944254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Child Guidance & Family Solutions 87 N Canton Rd Akron OH 44305-3838 Ph: (330) 794-4254 | Child Guidance & Family Solutions 18 N Forge St Akron OH 44304 Ph: (330) 762-0591 |
| NPI Number | 1922105147 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 07/09/2018 |
| Medicare PECOS PAC ID | 4880590801 |
|---|---|
| Medicare Enrollment ID | O20031210000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922105147 | NPI | - | NPPES |
| 03488 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 0137 (Ohio) | Primary |
| Provider Name | Kenneth P Buzzelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972510568 PECOS PAC ID: 3274432307 Enrollment ID: I20040107000630 |
| Provider Name | Jan M Maynor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841368099 PECOS PAC ID: 8426066408 Enrollment ID: I20060403000349 |
| Provider Name | Steven W Jewell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679641815 PECOS PAC ID: 6002919313 Enrollment ID: I20070307000024 |
| Provider Name | Brian C Perusek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003117037 PECOS PAC ID: 6204257363 Enrollment ID: I20200528002483 |
| Provider Name | Elizabeth Menefee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1942526900 PECOS PAC ID: 8921243908 Enrollment ID: I20200602002210 |
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