KAITLYN LEE GOODHART (NPI# 1093331092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093331092 |
| Entity Type | Individual |
| Full Name | KAITLYN LEE GOODHART |
| Practice Address |
2160 Howland Wilson Rd Ne Warren OH 44484-3921 |
| Practice Telephone | 3309842361 |
| Mailing Telephone | 3309842361 |
| Enumeration Date | 2020-06-25 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2160 HOWLAND WILSON RD NE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-3921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1891331930 | Michael Jacob Limbeck | Community/Behavioral Health | 2088 Saratoga Ave Sw, Warren, OH 44485-3960 | 2019-11-25 |
| 1497317424 | Susan Elizabeth Kilpatrick | Community/Behavioral Health | 1901 Southwest Blvd Sw, Warren, OH 44485-3973 | 2019-06-29 |
| 1972090967 | Riverside Counseling, LLC | Community/Behavioral Health | 436 Pennsylvania Ave W, Warren, PA 16365-2238 | 2018-04-16 |
| 1871005306 | Crn Healthcare Inc | Community/Behavioral Health | 4087 Youngstown Rd Se, Warren, OH 44484-3368 | 2017-10-24 |
| 1568998425 | The Salvation Army Habor Light Onward | Community/Behavioral Health | 24140 Mound Rd, Warren, MI 48091-5322 | 2017-05-11 |
| 1689002719 | Macomb-oakland Home Care, Inc. | Community/Behavioral Health | 1999 Common Rd, Warren, MI 48092-2164 | 2013-10-29 |
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
| 1932759701 | April Marie Brenkert | Community/Behavioral Health | 103 W Market St, Warren, OH 44481-1017 | 2019-09-13 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.