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ADDICTION OUTREACH CLINIC LTD
NPI 1356612261
Psychiatry & Neurology - Addiction Medicine in Boardman, OH

Active since January 24, 2012CLIA Certified · 7 labs
819 MCKAY CT STE 102, BOARDMAN, OH 44512(330) 259-4849(330) 629-2847 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Addiction Outreach Clinic Ltd NPPES

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

ADDICTION OUTREACH CLINIC LTD (NPI 1356612261) is a healthcare organization registered as an addiction medicine in Boardman, Ohio and active in the NPI registry since January 2012. The organization holds 7 active CLIA laboratory certificates and lists Nicholas Anthony Atanasoff, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1356612261
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameADDICTION OUTREACH CLINIC LTD
Location Address819 MCKAY CT STE 102Boardman, OH 44512-5771
Mailing Address755 Boardman - Canfield Road, Suite K-1Youngstown, OH 44512 · (330) 259-4849 · Fax (330) 629-2847
Phone(330) 259-4849
Fax(330) 629-2847
Organization SubpartNo
Authorized OfficialNicholas Anthony AtanasoffMedical Director · (330) 259-4849
Enumeration DateJanuary 24, 2012
Last NPPES UpdateNovember 7, 2023
NPPES CertifiedNovember 7, 2023
✔ NPI 1356612261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition

A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine

819 MCKAY CT STE 102, Boardman, OH 44512
Open in Google Maps ↗

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

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 and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 36D2030827

Addiction Outreach Clinic · Boardman, OH
Active · expires May 25, 2028
CLIA Number36D2030827
Laboratory TypePhysician Office
Certificate Effective DateMay 26, 2026
Certificate Expiration DateMay 25, 2028
Laboratory DirectorJoel Milzoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic819 Mckay Court, Suite 102, Boardman, OH 44512
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 36D2030831

Addiction Outreach Clinic · New Philadelphia, OH
Active · expires Jul 17, 2028
CLIA Number36D2030831
Laboratory TypePhysician Office
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorDr. Nicholas A. Atanasoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic543 West High Ave, New Philadelphia, OH 44663
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 39D2080132

Addiction Outreach Clinic LLC · Erie, PA
Active · expires Jun 30, 2028
CLIA Number39D2080132
Laboratory TypePractitioner
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDr. Shamus C. Reimold
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic LLC2409 State Street, Suite D, Erie, PA 16503
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2257173

Addiction Outreach Clinic · Kent, OH
Active · expires Mar 30, 2028
CLIA Number36D2257173
Laboratory TypePhysician Office
Certificate Effective DateMarch 31, 2026
Certificate Expiration DateMarch 30, 2028
Laboratory DirectorNicholas A. Atanasoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic184 Currie Hall Parkway, Kent, OH 44240
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2074476

Addiction Outreach Clinic · Elyria, OH
Active · expires Mar 10, 2028
CLIA Number36D2074476
Laboratory TypePhysician Office
Certificate Effective DateMarch 11, 2026
Certificate Expiration DateMarch 10, 2028
Laboratory DirectorNicholas A. Atanasoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic5342 Meadow Lane Court, Elyria, OH 44035
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 36D2106463

Addiction Outreach Clinic · Painesville, OH
Active · expires Dec 17, 2027
CLIA Number36D2106463
Laboratory TypePhysician Office
Certificate Effective DateDecember 18, 2025
Certificate Expiration DateDecember 17, 2027
Laboratory DirectorNicholas A. Atanasoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic2736 North Ridge Road Unit 6, Painesville, OH 44077
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

SARAH DEIGER LISW-S
Social Worker (Clinical)
819 MCKAY CT STE 102
BOARDMAN, OH 44512
Mahoning County (330) 259-4849
VICKIE LYNN LIBERATORE
Counselor (Addiction (Substance Use Disorder))
819 MCKAY CT STE 102
BOARDMAN, OH 44512
Mahoning County (330) 259-4849
WILLIAMS MANSFIELD
Counselor (Addiction (Substance Use Disorder))
819 MCKAY CT STE 102
BOARDMAN, OH 44512
Mahoning County (330) 259-4849
DR. NICHOLAS A ATANASOFF D.O.
Psychiatry & Neurology (Psychiatry)
819 MCKAY CT STE 102
BOARDMAN, OH 44512
Mahoning County (330) 259-4849

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 Addiction Outreach Clinic Ltd's NPI number?

The NPI number for Addiction Outreach Clinic Ltd is 1356612261. It was assigned to this organization in the NPPES registry on January 24, 2012.

Where is Addiction Outreach Clinic Ltd located?

Addiction Outreach Clinic Ltd is located at 819 Mckay Ct Ste 102, Boardman, OH 44512. The listed phone number is (330) 259-4849.

What is Addiction Outreach Clinic Ltd's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Does Addiction Outreach Clinic Ltd hold CLIA laboratory certificates?

Yes. 7 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Addiction Outreach Clinic Ltd accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Molina Healthcare list Addiction Outreach Clinic Ltd 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 Addiction Outreach Clinic Ltd was last updated on November 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.