Provider Demographics
NPI:1184830127
Name:HELMUTH PSYCHOLOGICAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:HELMUTH PSYCHOLOGICAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:HELMUTH
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:330-873-9866
Mailing Address - Street 1:3200 W MARKET ST
Mailing Address - Street 2:SUITE 101
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3335
Mailing Address - Country:US
Mailing Address - Phone:330-873-9866
Mailing Address - Fax:330-873-1428
Practice Address - Street 1:3200 W MARKET ST
Practice Address - Street 2:SUITE 101
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3335
Practice Address - Country:US
Practice Address - Phone:330-873-9866
Practice Address - Fax:330-873-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-15
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2875103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty