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MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES INC. NPI 1619941051


NPI Information

NPI: 1619941051
Provider Name: MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC.

Doing Business As: MENTAL HEALTH SERVICES FOR MADISON COUNTY

Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 36D1069634

Address:
210 N MAIN ST
LONDON, OH
ZIP 43140
Phone: (740) 852-6256
Get Directions

MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC. is a psychiatry psychiatry neurology in London, OH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC. NPI is 1619941051. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mental Health Services For Madison County.

The provider's business location address is:

210 N MAIN ST
LONDON, OH
ZIP 43140-115
Phone: (740) 852-6256
Fax: (740) 852-6395

The provider's authorized official is James P Perry .
The authorized official title is Ceo and has the following contact phone number (937) 399-9500.

The CLIA number assigned to this NPI record is 36D1069634 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 8/22/2020.


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
12084P0800XPsychiatry & NeurologyPsychiatry0006OHIOYes

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
16910OTHEROHIOMACSIS

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

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