RODERICK ELLIS (NPI# 1205452687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205452687 |
| Entity Type | Individual |
| Full Name | RODERICK ELLIS |
| Practice Address |
11156 Canal Rd Ste A Cincinnati OH 45241-5816 |
| Practice Telephone | 5137726166 |
| Practice Fax Number | 6142279447 |
| Mailing Telephone | 5137726166 |
| Mailing Fax Number | 6142279447 |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2020-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
11156 CANAL RD STE A |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45241-5816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841494531 | Mayra Lyzette Muniz-helm | Psychiatry & Neurology | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2007-06-14 |
| 1801494612 | Rebecca Heuck | Case Manager/Care Coordinator | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-10-14 |
| 1588262471 | Emma Elizabeth Guckenberger | Social Worker | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-10-13 |
| 1508464447 | Carissa A Drummond | Case Manager/Care Coordinator | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-10-13 |
| 1588261986 | Brittany M. M. Brumett | Social Worker | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-10-08 |
| 1881201838 | Kylie Paige Cox | Behavioral Analyst | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-09-24 |
| 1992319131 | Kenya Nickole Hill | Case Manager/Care Coordinator | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-09-04 |
| 1639782642 | Anne Mccall Stansberry | Social Worker | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-08-28 |
| 1922611383 | Krista Jordan Breckel | Case Manager/Care Coordinator | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-08-26 |
| 1255957734 | Gene A Walker | Case Manager/Care Coordinator | 11156 Canal Rd Ste A, Cincinnati, OH 45241-5816 | 2020-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891348512 | Ultimate Rehab, Ltd. | Physical Therapy Assistant | 11305 Reed Hartman Hwy., Ste. 226, Cincinnati, OH 45241 | 2019-07-22 |
| 1548787682 | Brian Eversole | Community Health Worker | 11156 Canal Road, #a, Cincinnati, OH 45241 | 2017-08-29 |
| 1013464544 | Emily Niehaus | Specialist/Technologist | 10040 Bennington Drive, Cincinnati, OH 45241 | 2016-09-01 |
| 1003274523 | Samuel Cogen | Specialist/Technologist | 4480 Classic Dr, Blue Ash, OH 45241 | 2016-01-29 |
| 1023420940 | Suzette Kies | Physical Therapist | 3900 Cottingham Drive, Princeton City Schools, Cincinnati, OH 45241 | 2014-05-27 |
| 1457770703 | Timothy Craig Wylie | Podiatrist | 10475 Reading Rd Ste 308, Cincinnati, OH 45241 | 2014-04-15 |
| 1295150027 | Lisa Brackmann | Speech-Language Pathologist | 11150 Maple Avenue, Cincinnati, Ohio, OH 45241 | 2014-03-04 |
| 1740602416 | Karyn Bransford | Nurse Anesthetist, Certified Registered | 9306 Brandy Wine Ln, West Chester, OH 45241 | 2014-01-14 |
| 1144586868 | Nichole Sherrie Hickman | Counselor | 300 E Business Way Ste 200, Cincinnati, OH 45241 | 2012-04-06 |
| 1497044846 | Garrett Alexander Seghi | Dentist | 11438 Lebanon Pike (rt.42), Suite # F, Cincinnati, OH 45241 | 2011-04-06 |
| Find all providers in zip 45241 | ||||
| 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 |
|---|---|---|---|---|
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1205469913 | Not Alone, Inc. | Community/Behavioral Health | 1821 Summit Rd Ste 30, Cincinnati, OH 45237-2822 | 2020-02-20 |
| 1861022683 | Lisa R Leace Lisw-s Counseling Services LLC | Community/Behavioral Health | 270 Northland Blvd Ste 211, Cincinnati, OH 45246-3653 | 2020-01-21 |
| 1649819582 | Clay Integrated Health Services | Community/Behavioral Health | 1 N Commerce Park Dr Ste 103, Cincinnati, OH 45215-3188 | 2019-12-23 |
| 1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
| 1821573882 | Wayne Steven Ford | Community/Behavioral Health | 1765 Williams Ave # 1, Cincinnati, OH 45212-3542 | 2018-09-26 |
| 1508343286 | Next Steps Behavioral Health | Community/Behavioral Health | 3284 North Bend Rd #108, Cincinnati, OH 45211-4521 | 2018-07-25 |
| 1518452085 | Bridges Counseling Services Inc | Community/Behavioral Health | 6240 Hamilton Ave Ste 6b, Cincinnati, OH 45224-2000 | 2018-06-27 |
| 1942792957 | Premier Transformation Counseling & Consulting Services | Community/Behavioral Health | 791 E Mcmillan St Ste 105, Cincinnati, OH 45206-1938 | 2018-06-05 |
| 1740731371 | Mayo Home for Youth Development | Community/Behavioral Health | 129 Woolper Ave, Cincinnati, OH 45220-1215 | 2016-10-19 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45241 |
Please comment or provide details below to improve the information on RODERICK ELLIS.
| 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.