CENTRAL CLINIC MENTAL HEALTH ACCESS POINT NPI 1386973378

NPI Information

NPI: 1386973378
Provider Name: CENTRAL CLINIC MENTAL HEALTH ACCESS POINT

Doing Business As: FAMILY ACCESS TO INTEGRATED REVOVERY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
311 ALBERT SABIN WAY
CINCINNATI, OH
ZIP 45229
Phone: (513) 558-9005
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CENTRAL CLINIC MENTAL HEALTH ACCESS POINT is a mental health (including community mental health center) clinic center in Cincinnati, OH. CENTRAL CLINIC MENTAL HEALTH ACCESS POINT NPI is 1386973378. The provider is registered as an organization entity type.
The provider Is Doing Business As Family Access To Integrated Revovery.

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 Walter S Smitson .
The authorized official title is President / Ceo and has the following contact phone number (513) 558-9015.

The CLIA number assigned to this NPI record is 36D2144479 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/22/2009 and was last updated on 4/12/2017.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0509	OHIO	No
2	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	0509	OHIO	No
3	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	12949	OHIO	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0509	OHIO	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	41177	OTHER	OHIO	CARF ACCREDIATION
2	MC-21-82	MEDICAID	OHIO

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

NPI Synchronization or Removal

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