CHILD AND ADOLESCENT BEHAVIORAL HEALTH (NPI# 1477787935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477787935 |
| Entity Type | Organization |
| Organization Name | CHILD AND ADOLESCENT BEHAVIORAL HEALTH |
| Practice Address |
4641 Fulton Dr Nw Canton OH 44718-2384 |
| Practice Telephone | 3304336075 |
| Mailing Telephone | 3304336075 |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |
| Authorized Official Name | MR. CHRIS WARSINKSY (DIRECTOR OF OUTPATIENT SERVICES) |
| Authorized Official Telephone | 3304336075 |
| Authorized Official Credential | LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0290822 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659739159 | Child and Adolescent Behavioral Health | Case Management | 3685 Norwood Ave, Alliance, OH 44601-5250 | 2016-01-29 |
| 1831172576 | Child and Adolescent Behavioral Health | Case Management | 919 2nd St Ne, Canton, OH 44704-1132 | 2005-11-28 |
| 1821577131 | Child and Adolescent Behavioral Health | Counselor | 919 2nd St Ne, Canton, OH 44704-1132 | 2018-08-08 |
| 1154555423 | Child and Adolescent Behavioral Health | Case Management | 1207 W State St Ste G, Alliance, OH 44601-4686 | 2009-05-14 |
| 1245464528 | Child and Adolescent Behavioral Health | Case Management | 919 2nd St Ne, Canton, OH 44704-1132 | 2009-05-14 |
| 1720212186 | Child and Adolescent Behavioral Health | Community/Behavioral Health | 919 2nd St Ne, Canton, OH 44704-1132 | 2009-05-13 |
| 1417181066 | Child and Adolescent Behavioral Health | Case Management | 1207 W State St, Suite G, Alliance, OH 44601-4686 | 2009-05-12 |
| 1932333655 | Child and Adolescent Behavioral Health | Case Management | 919 2nd St Ne, Canton, OH 44704-1132 | 2009-05-08 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHILD AND ADOLESCENT BEHAVIORAL HEALTH | 919 2nd St Ne, Canton, OH 44704-1132 |
| Street Address |
4641 FULTON DR NW |
| City | CANTON |
| State | OH |
| Zip Code | 44718-2384 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134206931 | Donna L Eleo | Counselor | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2006-11-01 |
| 1235752213 | Caitlin Schneider | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-05-25 |
| 1417577149 | Sarah Liquorman | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-04-22 |
| 1962030395 | Kara Lynn Kimevski | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2020-03-31 |
| 1124666904 | Ashlen Mitchell | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-12-12 |
| 1285279901 | Grace Elizabeth Maxton | Nurse Practitioner | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-11-18 |
| 1790331122 | Cory Ramsey | Behavioral Analyst | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-08-12 |
| 1104486729 | Caroline Witek | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-06-17 |
| 1275191678 | Carol Sue Schott | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-05-31 |
| 1053978890 | Emma Farkas | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2019-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639658057 | Christine Lynn Mccrone | Psychologist | 4450 Belden Village St Nw Ste 701, Canton, OH 44718 | 2018-08-07 |
| 1295252500 | Dora C Holliday | Student in an Organized Health Care Education/Training Program | 4641 Fulton Dr N.w., Canton, OH 44718 | 2017-08-28 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1457710139 | Aria Lg Counseling and Wellness Center, LLC | Clinic/Center | 5262 Fulton Road Nw, Canton, OH 44718 | 2016-02-23 |
| 1457722365 | Melinda R Bond | Nurse Practitioner | 4105 Holiday Street Nw, Canton, OH 44718 | 2015-10-19 |
| 1164804860 | Ashley Marie Whetsell | Dentist | 4550 Belden Village Street Nw, Canton, OH 44718 | 2015-06-18 |
| 1346643749 | Emil D. Poporad, Dds | Dentist | 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 | 2014-09-30 |
| 1699198390 | Lauri Sanders | Social Worker | 5860 Fulton Dr Nw, Canton, OH 44718 | 2014-01-31 |
| 1376893768 | Courteney R Briceland | Social Worker | 4641 Fulton Rd. Nw, Canton, OH 44718 | 2012-09-13 |
| 1982953220 | Lyudmyla Z Rockaway | Marriage & Family Therapist | 4895 Dressler Road Nw, Ste A, Canton, OH 44718 | 2012-08-31 |
| Find all providers in zip 44718 | ||||
| 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 |
|---|---|---|---|---|
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1427675834 | Aba Helps | Community/Behavioral Health | 5 Stratford Rd, Canton, MA 02021-4213 | 2020-07-01 |
| 1487149662 | James Lee Hicks Jr. | Community/Behavioral Health | 4826 Cranberry Ave Nw, Canton, OH 44709-1317 | 2018-06-29 |
| 1023501467 | Wendy E Hixenbaugh | Community/Behavioral Health | 400 Tuscarawas St W # Stwe200, Canton, OH 44702-2044 | 2018-06-11 |
| 1811484884 | Lifespan Incorporated | Community/Behavioral Health | 264 Lillie Ln, Canton, NC 28716-7900 | 2018-04-16 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1194276592 | Obtain The Promise LLC | Community/Behavioral Health | 189 Mill Creek Dr, Canton, GA 30115-6037 | 2016-10-20 |
| 1265985568 | Meah Counseling, LLC | Community/Behavioral Health | 5958 Canton Center Rd., Suite 900, Canton, MI 48187 | 2016-08-03 |
| 1245698356 | Meridian Behavioral Health Services | Community/Behavioral Health | 60 Thompson St, Canton, NC 28716-3325 | 2016-02-03 |
| Find all providers in CANTON | ||||
Please comment or provide details below to improve the information on CHILD AND ADOLESCENT BEHAVIORAL HEALTH.
| 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.