SOURCEONE GROUP INC NPI 1447346564

NPI Information

NPI: 1447346564
Provider Name: SOURCEONE GROUP INC

Doing Business As: SOURCEONE

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
210 E MILLTOWN RD
SUITE B
WOOSTER, OH
ZIP 44691
Phone: (330) 345-0955
Get Directions

SOURCEONE GROUP INC is an adult mental health clinic center in Wooster, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. SOURCEONE GROUP INC NPI is 1447346564. The provider is registered as an organization entity type.
The provider Is Doing Business As Sourceone.

The provider's business location address is:

210 E MILLTOWN RD
SUITE B
WOOSTER, OH
ZIP 44691-246
Phone: (330) 345-0955
Fax: (330) 345-3420

The provider's authorized official is Susan D. Buchwalter .
The authorized official title is President/ceo and has the following contact phone number (330) 345-0955.

The enumeration date for this NPI number is 10/5/2006 and was last updated on 1/14/2008.

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	261QM0855X	Clinic/Center	Adolescent and Children Mental Health		OHIO	No
2	261QM0850X	Clinic/Center	Adult Mental Health		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	9309291	MEDICARE PIN	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

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.

« Previous NPI

Next NPI »