THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES, INC. (NPI# 1487669222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487669222 |
| Entity Type | Organization |
| Organization Name | THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES, INC. |
| Other Organization Name | CATALYST LIFE SERVICES |
| Practice Address |
741 Scholl Rd Mansfield OH 44907-1571 |
| Practice Telephone | 4197561717 |
| Practice Fax Number | 4197745955 |
| Mailing Telephone | 4197561717 |
| Mailing Fax Number | 4197745955 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-05-29 |
| Authorized Official Name | LAURA MONTGOMERY (PRESIDENT & CEO) |
| Authorized Official Telephone | 4197746705 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
4158 | OH | Ambulatory Health Care Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 5-1724,5-0237,6- | OH | Residential Treatment Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0190 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MACSIS | 4158 | 01 |
| OH | 0906532 | 05 | |
| MAGELLAN | 136852000 | 01 |
| Other Name | Type Code |
|---|---|
| Catalyst Life Services | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 270 Sterkel Blvd, Mansfield, OH 449071508 | 4197561133 | |
| 31 E Main St, Shelby, OH 448751262 | 4193422449 | |
| 95 E 1st St, Mansfield, OH 449022088 | 4197561717 |
| Street Address |
741 SCHOLL RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497355150 | Alisha B Edgington | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-30 |
| 1023618097 | Annshalea N Yelton | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-29 |
| 1174122188 | The Center for Individual & Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-21 |
| 1336747955 | Sarah R Rager | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1790383305 | Skye M. Hersman | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1770190704 | Kacey D Gardner | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-24 |
| 1851908917 | Marcia Robbins | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-23 |
| 1467068718 | Merideth A Etzwiler | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| 1588270755 | Aimee M. Young-brissell | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| 1598378275 | Brianna A Edwards | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215052915 | Tioga County Dept of Human Services | Clinic/Center | St. James Complex, St. James & Third St. Bldg A Suite 109, Mansfield, PA 16033 | 2007-03-20 |
| 1427195460 | Department of Health & Hospitals | Clinic/Center | 501 Louisiana Avenue, Mansfield, LA 71052-2621 | 2007-01-31 |
| 1396752309 | Tioga County Dept. of Human Services | Clinic/Center | 63 Third Street, Suite 103, Mansfield, PA 16933 | 2006-08-02 |
| 1396353116 | Baker Counseling Services LLC | Clinic/Center | 100 N Walnut Ave Ste C, Mansfield, AR 72944-3522 | 2020-07-17 |
| 1407471675 | Newman Counseling Services, LLC | Clinic/Center | 100 N Walnut Ave Ste C, Mansfield, AR 72944-3522 | 2020-06-12 |
| 1275005456 | In Touch Psychiatry Consultants & Family Medicine, Pllc | Clinic/Center | 1024 E Broad St Ste 207, Mansfield, TX 76063-7702 | 2018-12-27 |
| 1013438878 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 73 W Wellsboro St, Mansfield, PA 16933-1412 | 2017-07-03 |
| 1437584927 | Northwest Louisiana Human Services District | Clinic/Center | 501 Louisiana St, Mansfield, LA 71052-2621 | 2013-09-04 |
| 1881033876 | Concern-professional Services for Children, Youth & Families | Clinic/Center | 1 Dorsett Dr, Mansfield, PA 16933-1517 | 2013-06-23 |
| 1689799181 | Tioga County Dept of Human Services | Clinic/Center | St. James Complex, St. James and Third St. Bldg A Suite 109, Mansfield, PA 16933 | 2007-03-21 |
| Find all providers in MANSFIELD | ||||
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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.