CHILD AND ADOLESCENT BEHAVIORAL HEALTH (NPI# 1720212186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720212186 |
| Entity Type | Organization |
| Organization Name | CHILD AND ADOLESCENT BEHAVIORAL HEALTH |
| Practice Address |
919 2nd St Ne Canton OH 44704-1132 |
| Practice Telephone | 3304547917 |
| Practice Fax Number | 3304528860 |
| Mailing Telephone | 3304547917 |
| Enumeration Date | 2009-05-13 |
| Last Update Date | 2009-05-13 |
| Authorized Official Name | MRS. ERIN GILLINGHAM (CPST PROVIDER) |
| Authorized Official Telephone | 3304547917 |
| Authorized Official Credential | B.S. T.O |
| 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 |
| 1477787935 | Child and Adolescent Behavioral Health | Community/Behavioral Health | 4641 Fulton Dr Nw, Canton, OH 44718-2384 | 2009-05-12 |
| 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 |
919 2ND ST NE |
| City | CANTON |
| State | OH |
| Zip Code | 44704-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831172576 | Child and Adolescent Behavioral Health | Case Management | 919 2nd St Ne, Canton, OH 44704-1132 | 2005-11-28 |
| 1326649112 | Stephen Higgins | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-11-06 |
| 1720694847 | Joanna C Mitchell | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-09-23 |
| 1538787163 | Moriah Hope Howes | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-07-09 |
| 1700404795 | Alexis Falb | Student in an Organized Health Care Education/Training Program | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-07-07 |
| 1124645643 | Caren Ann Lennon-ream | Registered Nurse | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-06-30 |
| 1609490135 | Kristen Redhead | Social Worker | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-06-01 |
| 1851914535 | Max Rein Doll | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-05-28 |
| 1801415666 | Victoria Gem Medla | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-04-13 |
| 1255966503 | Alyson A Candea | Case Manager/Care Coordinator | 919 2nd St Ne, Canton, OH 44704-1132 | 2020-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861961047 | Ebony Michelle Sheeler | Home Health Aide | 910 Lippert Rd Ne, Canton, OH 44704 | 2018-11-18 |
| 1366935421 | Krystal Marie Robinson | Home Health | 920 Second Street N.e., Canton, OH 44704 | 2018-06-12 |
| 1356889315 | Shamika James | Home Health Aide | 308 Grant Ct Ne, Canton, OH 44704 | 2017-02-09 |
| 1053862151 | Dionna T Stokes-ellis | Case Manager/Care Coordinator | 919 Second St Se, Canton, OH 44704 | 2016-10-24 |
| 1336428713 | Danene Kirksey | Clinical Nurse Specialist | 2323 Penn Place Northeast, Canton, OH 44704 | 2011-08-16 |
| 1144541749 | Jeremy Micheal Maher | Case Manager/Care Coordinator | 919 Second St. N.e., Canton, OH 44704 | 2010-06-17 |
| 1528294378 | Melanie Singhaus | Community/Behavioral Health | 919 Second St. N. E., Canton, OH 44704 | 2009-06-08 |
| 1225125743 | John Lee Thomas | Registered Nurse | 1827 2nd St Ne, Canton, OH 44704 | 2006-10-06 |
| 1548618655 | Allison Markham-strahsburg | Case Manager/Care Coordinator | 919 Second St. N.e., Canton, OH 44704 | 2016-05-31 |
| 1063701894 | Stacy Lynn Tucci | Pharmacist | 114 12th St Ne, Canton, OH 44704-1024 | 2011-04-01 |
| Find all providers in zip 44704 | ||||
| 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 | ||||
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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.