SCIOTO FAMILY AND BEHAVIORAL MEDICINE, LLC (NPI# 1619440377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619440377 |
Entity Type | Organization |
Organization Name | SCIOTO FAMILY AND BEHAVIORAL MEDICINE, LLC |
Practice Address |
5611 Gallia St Portsmouth OH 45662-5520 |
Mailing Address |
791 Meadow Ln Wheelersburg OH 45694-8870 |
Practice Telephone | 7405290083 |
Mailing Telephone | 2708717379 |
Enumeration Date | 2019-01-05 |
Last Update Date | 2019-01-05 |
Authorized Official Name | JOHN HAASTRUP (PHYSICIAN) |
Authorized Official Telephone | 2708717379 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063074771 | Scioto Family and Behavioral Medicine, LLC | Community/Behavioral Health | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-07-02 |
Street Address |
5611 GALLIA ST |
City | PORTSMOUTH |
State | OH |
Zip Code | 45662-5520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
1669090528 | Alison Marie Morton I | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2020-07-08 |
1588207559 | Alicia Ann Raines | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-10-23 |
1750931119 | Jack Todd Woodring | Community/Behavioral Health | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-09-18 |
1063074771 | Scioto Family and Behavioral Medicine, LLC | Community/Behavioral Health | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-07-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
Find all providers in zip 45662 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528207339 | Hampton Roads Institute for Performance & Sports Medicine Plc | Clinic/Center | 500 Rodman Ave Ste 1, Portsmouth, VA 23707-3100 | 2009-02-18 |
1205083789 | Medical Ambulatory Doctors of New Hampshire Pllc | Clinic/Center | 288 Lafayette Rd Bldg A, Portsmouth, NH 03801-5431 | 2008-08-26 |
1477745438 | Scioto Valley Orthopaedics, Inc. | Clinic/Center | 1735 27th St, Suite 308, Portsmouth, OH 45662-2677 | 2007-08-14 |
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1891302808 | Trenton Family Chiropractic | Clinic/Center | 204 E State St, Trenton, OH 45067-1530 | 2020-09-24 |
1306452834 | Navigate Psychiatry LLC | Clinic/Center | 7556 Mentor Ave, Mentor, OH 44060-5418 | 2020-09-21 |
1730703547 | Ohio Restorative Medicine | Clinic/Center | 7242 Tylers Corner Dr Ste B, West Chester, OH 45069-6335 | 2020-06-08 |
1982223657 | The Dahlia Center, LLC | Clinic/Center | 3637 Medina Rd Ste 85, Medina, OH 44256-8153 | 2020-04-13 |
1669940722 | Wilmington Chiropractic and Wellness Center LLC | Clinic/Center | 576 Prairie Ave, Wilmington, OH 45177-1770 | 2018-11-07 |
1093201246 | Central Ohio Nephrology and Hypertension Clinic LLC | Clinic/Center | 550 S Cleveland Ave Ste A, Westerville, OH 43081-8958 | 2018-07-10 |
1518452010 | Endovascular Associates LLC | Clinic/Center | 8790 E Market St Ste 300, Warren, OH 44484-2360 | 2018-06-27 |
1154833655 | Next Level Sport and Spine LLC | Clinic/Center | 204 W. High Ave, New Philadelphia, OH 44663 | 2017-10-25 |
1275927840 | Alliance Recovery Specialists LLC | Clinic/Center | 2371 W State St, Suite A, Alliance, OH 44601-3594 | 2015-03-23 |
1356742407 | Reeshad R Buhariwalla, Md Inc | Clinic/Center | 4090 Acadia Rd, Delphos, OH 45833-9410 | 2014-09-09 |
Find all providers with the same taxonomy |
City | PORTSMOUTH |
Zip Code | 45662 |
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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.