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CENTRAL CLINIC OUTPATIENT SERVICES NPI 1326589722


NPI Information

NPI: 1326589722
Provider Name: CENTRAL CLINIC OUTPATIENT SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
ZIP 45229
Phone: (513) 558-9005
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CENTRAL CLINIC OUTPATIENT SERVICES is a mental health counselor in Cincinnati, OH. CENTRAL CLINIC OUTPATIENT SERVICES NPI is 1326589722. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

311 ALBERT SABIN WAY
CINCINNATI, OH
ZIP 45229-838
Phone: (513) 558-9005
Fax: (513) 558-3880

The provider's authorized official is Kimberly G Mages .
The authorized official title is Ceo/president and has the following contact phone number (513) 558-5879.

The enumeration date for this NPI number is 3/17/2017 and was last updated on 2/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2103TC0700XPsychologistClinicalNo
31041C0700XSocial WorkerClinicalNo
4106H00000XMarriage & Family TherapistNo
5171M00000XCase Manager/Care CoordinatorNo
6363A00000XPhysician AssistantNo
7101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10216229MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.