HOPE419 (NPI# 1750990438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750990438 |
| Entity Type | Organization |
| Organization Name | HOPE419 |
| Practice Address |
1221 S Trimble Rd Bldg C Mansfield OH 44907-2200 |
| Practice Telephone | 4199512020 |
| Mailing Telephone | 4199512020 |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2020-07-28 |
| Authorized Official Name | JOHANNA WILSON (OWNER) |
| Authorized Official Telephone | 4199512020 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 2084B0040X |
Psychiatry & Neurology Specialization: Behavioral Neurology & Neuropsychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
1221 S TRIMBLE RD BLDG C |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639261845 | David Robert Krenrick | Social Worker | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2006-09-28 |
| 1598288185 | Nicole Marie Wurstle | Physician Assistant | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2017-07-25 |
| 1619289881 | Johanna S. Wilson | Psychiatry & Neurology | 1221 S Trimble Rd Bldg C, Mansfield, OH 44907-2200 | 2010-07-05 |
| 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 | 2084B0040X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Behavioral Neurology & Neuropsychiatry |
| Behavioral Neurology & Neuropsychiatry is a medical subspecialty involving the diagnosis and treatment of neurologically based behavioral issues. |
| Notes: Source: National Uniform Claim Committee. [1/1/2012: new] Additional Resources: American Academy of Neurology, www.aan.com. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325939 | Lswhb LLC | Psychiatry & Neurology | 640 Glenna Dr, Fairfield, OH 45014 | 2018-11-14 |
| 1578910808 | Eden Counseling Centers LLC Mental Health | Psychiatry & Neurology | 8794 Big Bear Avenue, Powell, OH 43065-9113 | 2016-05-17 |
| 1922356864 | Jacqueline Vanderburgh | Psychiatry & Neurology | 3545 Olentangy River Rd Ste 220, Columbus, OH 43214-3907 | 2012-08-27 |
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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.