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MOHICAN YOUTH ACADEMY
NPI 1063926616
Psychiatry & Neurology - Neurodevelopmental Disabilities in Perrysville, OH

Active since November 18, 2017
1012 ODNR MOHICAN 51, PERRYSVILLE, OH 44864(419) 994-0300 Get Directions Write a Review

NPPES record last updated: November 18, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mohican Youth Academy NPPES

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

MOHICAN YOUTH ACADEMY (NPI 1063926616) is a healthcare organization registered as a neurodevelopmental disabilities in Perrysville, Ohio and active in the NPI registry since November 2017. The organization lists Wendy Bruno, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063926616
Entity TypeOrganization
Primary Taxonomy2084P0005X
Legal Business NameMOHICAN YOUTH ACADEMY
Location Address1012 ODNR MOHICAN 51Perrysville, OH 44864-9407
Mailing Address1012 Odnr Mohican 51Perrysville, OH 44864-9407 · (419) 994-0300
Phone(419) 994-0300
Organization SubpartNo
Authorized OfficialWendy BrunoCredentialing · (614) 556-4616
Enumeration DateNovember 18, 2017
✔ NPI 1063926616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Neurodevelopmental DisabilitiesAllopathic & Osteopathic Physicians
Taxonomy Code2084P0005X
Definition

A neurologist who specializes in the treatment of individuals with developmental delays and learning disorders associated with cerebral palsy, spina bifida, autism, and other chronic neurologic conditions.

1012 ODNR MOHICAN 51, Perrysville, OH 44864
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

MOHICAN YOUTH ACADEMY
Counselor (Mental Health)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
V. LYNN SPENCER LICEC-CS
Counselor (Addiction (Substance Use Disorder))
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
EDWIN EVERHART
Social Worker
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
KIRK RANSOM LSW
Counselor
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MOHICAN YOUTH ACADEMY LLC
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
ANDY LEONARD LPCC
Counselor (Professional)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MS. LISA ANN NEELY MA PCC-S
Counselor (Professional)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300
MRS. CHRISTINE N MANGETTE 0801131 LSW
Counselor (Mental Health)
1012 ODNR MOHICAN 51
PERRYSVILLE, OH 44864
Ashland County (419) 994-0300

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 Mohican Youth Academy's NPI number?

The NPI number for Mohican Youth Academy is 1063926616. It was assigned to this organization in the NPPES registry on November 18, 2017.

Where is Mohican Youth Academy located?

Mohican Youth Academy is located at 1012 Odnr Mohican 51, Perrysville, OH 44864. The listed phone number is (419) 994-0300.

What is Mohican Youth Academy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurodevelopmental Disabilities, with taxonomy code 2084P0005X.

When was this NPI record last updated?

The NPPES record for Mohican Youth Academy was last updated on November 18, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.