| Portage Path Behavioral Health | |
|
340 S Broadway St Akron OH 44308-1529 | |
| (330) 253-3100 | |
| (330) 253-5248 |
| Full Name | Portage Path Behavioral Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 340 S Broadway St, Akron, Ohio |
| Authorized Official Name and Position | Tracy Yaeger (PRESIDENT) |
| Authorized Official Contact | 3302533100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Portage Path Behavioral Health 340 S Broadway St Akron OH 44308-1529 Ph: (330) 253-3100 | Portage Path Behavioral Health 340 S Broadway St Akron OH 44308-1529 Ph: (330) 253-3100 |
| NPI Number | 1225087802 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 01/06/2017 |
| Medicare PECOS PAC ID | 5597663344 |
|---|---|
| Medicare Enrollment ID | O20031230000716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225087802 | NPI | - | NPPES |
| 2314561 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Manzoor Elahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174621221 PECOS PAC ID: 6709854854 Enrollment ID: I20040917000278 |
| Provider Name | Avery Zook |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821199092 PECOS PAC ID: 1254394224 Enrollment ID: I20041110000673 |
| Provider Name | Beth R Angelotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417043670 PECOS PAC ID: 4385660539 Enrollment ID: I20051018000518 |
| Provider Name | Lisa A Renier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578751459 PECOS PAC ID: 7810076858 Enrollment ID: I20080502000174 |
| Provider Name | Yuan-hua N Thakore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053356527 PECOS PAC ID: 4385700343 Enrollment ID: I20090227000276 |
| Provider Name | Tahmina R Elahi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083702237 PECOS PAC ID: 1355473984 Enrollment ID: I20100719000144 |
| Provider Name | Cynthia Lormor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639265820 PECOS PAC ID: 0648446633 Enrollment ID: I20111221000540 |
| Provider Name | Julia Klein Vovko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811083082 PECOS PAC ID: 2567638117 Enrollment ID: I20120103000150 |
| Provider Name | Jeffrey M Turell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184871063 PECOS PAC ID: 1951560754 Enrollment ID: I20120314000722 |
| Provider Name | Marilena Achim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710128145 PECOS PAC ID: 3870740558 Enrollment ID: I20120831000390 |
| Provider Name | Gabriela Feier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023244514 PECOS PAC ID: 1658513510 Enrollment ID: I20130806000749 |
| Provider Name | James Tudhope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215251392 PECOS PAC ID: 4284860867 Enrollment ID: I20131204001773 |
| Provider Name | Michael G Kesselring |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033518543 PECOS PAC ID: 0143441121 Enrollment ID: I20141015001923 |
| Provider Name | Melanie Walters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144359183 PECOS PAC ID: 0648345256 Enrollment ID: I20150128001255 |
| Provider Name | Stephanie M Pope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275846669 PECOS PAC ID: 5092023978 Enrollment ID: I20150925000857 |
| Provider Name | Catherine L Buswell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184657165 PECOS PAC ID: 9739193400 Enrollment ID: I20170515001118 |
| Provider Name | Tonya Gessler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396255865 PECOS PAC ID: 3476819798 Enrollment ID: I20171102000213 |
| Provider Name | Syed Mahfuzul Alam |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1417311143 PECOS PAC ID: 3375807811 Enrollment ID: I20180829004459 |
| Provider Name | Wendy Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083066203 PECOS PAC ID: 1850630005 Enrollment ID: I20190305002671 |
| Provider Name | Julie Ashkar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790264489 PECOS PAC ID: 2668804733 Enrollment ID: I20191111001341 |
| Provider Name | Ramesh Babu Jasti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871531996 PECOS PAC ID: 3375556517 Enrollment ID: I20191210002282 |
| Provider Name | Raman Krimpuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336672120 PECOS PAC ID: 3173892700 Enrollment ID: I20210304002434 |
| Provider Name | Vhari F Kashay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184397358 PECOS PAC ID: 5294132601 Enrollment ID: I20210928003019 |
| Provider Name | Melissa C Elbert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891209979 PECOS PAC ID: 4385033067 Enrollment ID: I20211118001411 |
| Provider Name | Bernadette N. Sisk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487014825 PECOS PAC ID: 4880070192 Enrollment ID: I20221010001587 |
| Provider Name | Molly Hockin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003542382 PECOS PAC ID: 2466829841 Enrollment ID: I20221028001031 |
| Provider Name | Kelly Cioletti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902316581 PECOS PAC ID: 3072981505 Enrollment ID: I20221115000668 |
| Provider Name | Urvashi Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093438822 PECOS PAC ID: 7911375167 Enrollment ID: I20221121000817 |
| Provider Name | Katherine A Savakis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588384143 PECOS PAC ID: 7810368222 Enrollment ID: I20230123002100 |
| Provider Name | Amber Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831783497 PECOS PAC ID: 9739543026 Enrollment ID: I20230920001012 |
| Provider Name | Brent Skall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275215667 PECOS PAC ID: 3375997034 Enrollment ID: I20230928002185 |
| Provider Name | Nathan Rosenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700567559 PECOS PAC ID: 4082068747 Enrollment ID: I20230928002294 |
| Provider Name | Rainie D Panella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184300055 PECOS PAC ID: 2062866726 Enrollment ID: I20230928002361 |
| Provider Name | Paige Blankenship |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952952806 PECOS PAC ID: 4789032491 Enrollment ID: I20231117003053 |
| Provider Name | Kenneth Seeley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770999153 PECOS PAC ID: 3274986286 Enrollment ID: I20240125003973 |
| Provider Name | Lisa M Hoffert |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356906069 PECOS PAC ID: 5496108037 Enrollment ID: I20240130002665 |
| Provider Name | Tomoko Kobayashi Sherrod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538502760 PECOS PAC ID: 4183077761 Enrollment ID: I20240131000234 |
| Provider Name | Matthew Ragon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447369384 PECOS PAC ID: 1355794967 Enrollment ID: I20240131001211 |
| Provider Name | David A Kern |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326440728 PECOS PAC ID: 3779927280 Enrollment ID: I20240222002989 |
To Go Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Cleve Mass Rd, Akron, OH 44333 Phone: 330-858-0443 | |
Pecola Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 W Market St Ste 14, Akron, OH 44313 Phone: 234-678-7043 | |
Fields Psychological Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 721 Wall St, Akron, OH 44310 Phone: 330-671-8008 Fax: 234-678-4871 | |
C.o.r. Plus Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 878 W Market St, Akron, OH 44303 Phone: 234-678-5941 | |
Community Support Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Cross St, Akron, OH 44311 Phone: 330-996-9141 Fax: 330-253-0377 | |
Catholic Charities Diocese Of Cleveland Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Biruta St, Akron, OH 44307 Phone: 330-762-2961 | |
Firm Foundations Counseling Agency Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1769 East Waterford Ct, Akron, OH 44313 Phone: 330-990-7730 |