Child and Adolescent Behavioral Health
NPI 1831172576 · Community/Behavioral Health Agency · Canton, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1831172576
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Courtney Shahan, Hr Admin Assistant/Credentialing(330) 433-6075
Specialties & taxonomies
Agencies
- Case Management Agency251B00000X
Agencies
- Voluntary or Charitable Agency251V00000X
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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
Additional practice locations (3)
- 405 S Linden AveAlliance, OH 44601-3035Phone: (330) 433-6075Fax: (330) 494-0299
- 919 2nd St NeCanton, OH 44704-1132Phone: (330) 454-7917
- 1801 Schneider St NeCanton, OH 44721-3349Phone: (330) 470-4061Fax: (330) 470-4083
Registry dates
- Enumerated
- 2005-11-28
- Last updated
- 2025-08-21
- Certified
- 2025-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.