92ND STREET PSYCH LLC
NPI 1003614181
Clinic/Center - Multi-Specialty in Hudson, OH

Q: What is 92nd Street Psych LLC's NPI number?

The NPI number for 92nd Street Psych LLC is 1003614181. It was assigned to this organization in the NPPES registry on March 5, 2025.

Q: What is 92nd Street Psych LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since March 05, 2025

72 N MAIN ST STE 207, HUDSON, OH 44236(330) 294-4408 Get Directions Write a Review

NPPES record last updated: April 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 15, 2026, Apr 9, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2025).

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About 92nd Street Psych Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

92ND STREET PSYCH LLC (NPI 1003614181) is a healthcare organization registered as a multi-specialty in Hudson, Ohio and active in the NPI registry since March 2025. The organization lists Bianca Olivera, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1003614181

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business Name92ND STREET PSYCH LLC

Location Address72 N MAIN ST STE 207Hudson, OH 44236-2867

Mailing Address72 N Main St Ste 207Hudson, OH 44236-2867 · (330) 294-4408 · Fax (234) 269-5428

Phone(330) 294-4408

Organization SubpartNo

Authorized OfficialBianca OliveraPractice Manager · (330) 294-4408

Enumeration DateMarch 5, 2025

Last NPPES UpdateApril 15, 20264 updates tracked since enumeration

NPPES CertifiedApril 15, 2026

✔ NPI 1003614181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

72 N MAIN ST STE 207, Hudson, OH 44236

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH HENDRICKSON CARROLL RN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)

72 N MAIN ST STE 207
HUDSON, OH 44236

Summit County (330) 294-4408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 92nd Street Psych LLC's NPI number?

The NPI number for 92nd Street Psych LLC is 1003614181. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is 92nd Street Psych LLC located?

92nd Street Psych LLC is located at 72 N Main St Ste 207, Hudson, OH 44236. The listed phone number is (330) 294-4408.

What is 92nd Street Psych LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

What insurance does 92nd Street Psych LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list 92nd Street Psych LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 92nd Street Psych LLC was last updated on April 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.