CENTERVILLE CLINICS INC (NPI# 1558969741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558969741 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS INC |
| Practice Address |
Centerville Clinics-intensive Behavioral Health Service 37 Highland Avenue Washington PA 15301-4062 |
| Mailing Address |
Centerville Clinics Inc 1070 Old National Pike Road Fredericktown PA 15333-2114 |
| Practice Telephone | 7242231067 |
| Practice Fax Number | 7242231088 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Authorized Official Name | MR. BARRY R NICCOLAI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7246356801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064002 | Centerville Clinics Inc | Family Medicine | Centerville Clinics-donora Family Medicine, 718 Mckean Avenue, Donora, PA 15033-1061 | 2019-10-11 |
| 1598314908 | Centerville Clinics Inc | Family Medicine | Centerville Clinics - City Mission Site, 84 W Wheeling Street, Washington, PA 15301-6918 | 2019-09-09 |
| 1306309927 | Centerville Clinics Inc | Social Worker | Bower Hill Elementary School, 424 Bower Hill Road, Venetia, PA 15367 | 2019-04-10 |
| 1700349321 | Centerville Clinics Inc | Social Worker | Peters Township Middle School, 626 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1811450448 | Centerville Clinics Inc | Social Worker | Pleasant Valley Elementary School, 250 East Mcmurray Road, Mcmurray, PA 15317 | 2019-04-10 |
| 1871079566 | Centerville Clinics Inc | Social Worker | California High School, 11 Trojan Way, Coal Center, PA 15423-1059 | 2018-07-16 |
| 1518443209 | Centerville Clinics Inc | Social Worker | West Greene Elementary, 1367 Hargus Creek Road, Waynesburg, PA 15370 | 2018-07-16 |
| 1477039410 | Centerville Clinics Inc | Social Worker | Bobtown Elementary, 304 Grant Street, Bobtown, PA 15315 | 2018-07-12 |
| 1033695077 | Centerville Clinics Inc | Social Worker | Bentworth Middle School, 563 Lincoln Avenue, Bentleyville, PA 15314 | 2018-07-12 |
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| Street Address |
CENTERVILLE CLINICS-INTENSIVE BEHAVIORAL HEALTH SERVICE 37 HIGHLAND AVENUE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356859334 | Providence Health Services, Inc | Specialist | 1150 Varnum St Ne Ste 300, Washington, DC 20017-2180 | 2018-01-12 |
| 1144761016 | Elisabeth Payne | Specialist | 1334 Rittenhouse St Nw, Washington, DC 20011-1106 | 2017-03-13 |
| 1821532649 | Dr. Richard Smilie, Veterinarian | Specialist | 1622 32nd St Nw, Washington, DC 20007-2930 | 2016-12-13 |
| 1871947812 | Olusola Zaccheus | Specialist | 269 56th St Ne, Washington, DC 20019-6744 | 2016-04-15 |
| 1215390331 | Jessica Lynn Fornieri | Specialist | 3700 O St Nw, Washington, DC 20057-0002 | 2016-04-05 |
| 1497115083 | Kathleen Pyne | Specialist | 1728 Willard St Nw, Washington, DC 20009-1719 | 2016-02-25 |
| 1932568276 | Trusted Urology Inc | Specialist | 1140 Varnum St Ne Ste 208a, Washington, DC 20017-2153 | 2016-02-15 |
| 1841663135 | Leonard Mcpherson | Specialist | 4705 Asbury Pl. N.w., Washington, DC 20016 | 2015-11-09 |
| 1396118782 | Dante Settles | Specialist | 3564 Fort Lincoln Dr Ne, Washington, DC 20018-4312 | 2015-11-05 |
| 1487023479 | Maria Jevon Fortune | Specialist | 5057 Astor Pl Se Apt 203, Washington, DC 20019-7683 | 2015-09-19 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.