MR. JERRY NEWPORT


Address: 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504
Phone: 9373999500

MR. JERRY NEWPORT (NPI# 1538582291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1538582291
Entity Type Individual
Full Name MR. JERRY NEWPORT
Practice Address 474 N. Yellow Springs St
Mental Health Services for Clark and Madison Counties
Springfield
OH 45504
Mailing Address 474 N. Yellow Springs
Mental Health Services for Clark and Madison Counties
Springfield
OH 45504
Practice Telephone 9373999500
Practice Fax Number 9373424242
Mailing Telephone 9373999500
Mailing Fax Number 9373424242
Enumeration Date 2014-01-30
Last Update Date 2014-01-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
E-0001738-SUPV OH Behavioral Health & Social Service Providers

Office Location

Street Address 474 N. YELLOW SPRINGS ST
MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES
City SPRINGFIELD
State OH
Zip Code 45504

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SPRINGFIELD
Zip Code 45504

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Dataset Information

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.

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