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

Active since January 24, 2012CLIA Certified · 6 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: October 18, 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 6 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 ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Addiction Outreach Clinic Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

14

Medicare enrollment records show 14 clinicians reassign Medicare billing to Addiction Outreach Clinic Ltd, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Nurse Practitioner5
Family Practice4
Clinical Social Worker2
Certified Clinical Nurse Specialist (CNS)1
Mental Health Counselor1
Psychiatry1

Clinicians, nearest first (14)

Nicholas Atanasoff, D.O.
Psychiatry
NPI 1992762264
819 MCKAY CT STE 102
Boardman, OH 44512
(330) 259-4849
✔ PECOS✔ Accepts MedicareSame address
Sarah Deiger, LISW-S
Clinical Social Worker
NPI 1003260613
819 MCKAY CT STE 102
Boardman, OH 44512
(330) 259-4849
✔ PECOSSame address
Joseph Masternick, D.O.
Family Practice
NPI 1669491569
914 TRAILWOOD DR
Boardman, OH 44512
(330) 758-4568
✔ PECOS✔ Accepts Medicare0.3 mi
Russell Morrison, D.O.
Family Practice
NPI 1699773259
MIDLOTHIAN MEDICAL CENTER 2010 EAST MIDLOTHIAN BLVD.
Youngstown, OH 44502
(330) 788-8791
✔ PECOS✔ Accepts Medicare2.8 mi
Matthew Gugliotti, M.D.
Family Practice
NPI 1144456476
170 SANDY CT UNIT 3
New Middletown, OH 44442
(330) 542-9502
✔ PECOS✔ Accepts Medicare5.4 mi
Vincent Marino, DO
Family Practice
NPI 1093791691
107 ROYAL BIRKDALE DR SUITE A
Columbiana, OH 44408
(330) 482-9350
✔ PECOS9.3 mi
Douglas Stevens, CNP
Nurse Practitioner
NPI 1013474824
625 CLEVELAND AVE NW
Canton, OH 44702
(330) 445-2677
✔ PECOS✔ Accepts Medicare41 mi
Denise Frindt, AGNP-C
Nurse Practitioner
NPI 1689055634
13207 RAVENNA RD
Chardon, OH 44024
(440) 285-4999
✔ PECOS✔ Accepts Medicare44 mi
Danielle Harris, CNS
Certified Clinical Nurse Specialist (CNS)
NPI 1992712327
7575 NORTHCLIFF AVE STE 200
Brooklyn, OH 44144
(216) 417-3700
✔ PECOS✔ Accepts Medicare64 mi
Donald Potter
Clinical Social Worker
NPI 1396094181
202 E BAGLEY RD
Berea, OH 44017
(800) 234-2006
✔ PECOS✔ Accepts Medicare67 mi
Joshua Grund, NP-C
Nurse Practitioner
NPI 1043614910
269 PORTLAND WAY S
Galion, OH 44833
(419) 468-0733
✔ PECOS115 mi
Amanda Adkins, APRN
Nurse Practitioner
NPI 1376432534
219 W EMMITT AVE
Waverly, OH 45690
(937) 544-2222
✔ PECOS✔ Accepts Medicare180 mi
Susan Sammons, APRN
Nurse Practitioner
NPI 1720522493
203 WEST EMMITT AVE SUITE C
Waverly, OH 45690
(740) 285-5034
✔ PECOS180 mi
Matthew Rupert, LPCC-S, LICDC-CS
Mental Health Counselor
NPI 1154667137
30 OVERBROOK DR SUITE C
Monroe, OH 45050
(513) 539-5250
✔ PECOS225 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 6

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 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.

Certificate of Waiver 36D2033023

Addiction Outreach Clinic · Waverly, OH
Active · expires Nov 20, 2027
CLIA Number36D2033023
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorNicholas A. Atanasoff
Laboratory Phone(330) 259-4849
Laboratory LocationAddiction Outreach Clinic219 West Emmitt Avenue Suite C, Waverly, OH 45690
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Is Addiction Outreach Clinic Ltd enrolled in Medicare?

Yes. Addiction Outreach Clinic Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Addiction Outreach Clinic Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 14 clinicians in 6 Medicare specialties reassign their Medicare billing to Addiction Outreach Clinic Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5), Family Practice (4) and Clinical Social Worker (2). Of these, 2 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Addiction Outreach Clinic Ltd hold CLIA laboratory certificates?

Yes. 6 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.