92nd Street Psych LLC
NPI 1003614181 · Multi-Specialty Clinic/Center · Hudson, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
92nd Street Psych LLC is a Multi-Specialty Clinic/Center organization in Hudson, OH (NPI 1003614181).
Provider details
- NPI number
- 1003614181
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Bianca Olivera, Practice Manager(330) 294-4408
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-03-05
- Last updated
- 2026-04-15
- Certified
- 2026-04-15
Frequently asked questions
- What is 92nd Street Psych LLC's NPI number?
- 92nd Street Psych LLC's National Provider Identifier (NPI) is 1003614181, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 92nd Street Psych LLC?
- 92nd Street Psych LLC is classified in the NPPES registry as Multi-Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is 92nd Street Psych LLC located?
- 92nd Street Psych LLC's practice location on file with NPPES is 72 N Main St Ste 207, Hudson, OH 44236-2867.
- What is 92nd Street Psych LLC's phone number?
- The practice phone number listed in the NPPES registry for 92nd Street Psych LLC is (330) 294-4408.
- Does 92nd Street Psych LLC accept Medicare?
- 92nd Street Psych LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 92nd Street Psych LLC?
- The authorized official listed on 92nd Street Psych LLC's NPPES record is Bianca Olivera, Practice Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 92nd Street Psych LLC's NPI active?
- Yes — 92nd Street Psych LLC's NPI (1003614181) is active in the NPPES registry as of the last update on 2026-04-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.