ROBERT BENNETT (NPI# 1750998035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750998035 |
| Entity Type | Individual |
| Full Name | ROBERT BENNETT |
| Credential | CDCA |
| Practice Address |
2737 Youngstown Rd Se Warren OH 44484-5002 |
| Practice Telephone | 3303698022 |
| Mailing Telephone | 3303698022 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | 174386 | OH | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104333863 | Robert Bennett | Nurse Practitioner | 407 Ne Pecos Way, Jensen Beach, FL 34957-6692 | 2018-01-03 |
| 1619214087 | Robert David Bennett | Licensed Practical Nurse | 6162 Hollyberry Ln, Hamilton, OH 45011-5194 | 2013-01-05 |
| 1174892814 | Robert Bennett | Psychologist | 117 Tennessee Ave Ne, Washington, DC 20002-6425 | 2011-12-27 |
| 1740489426 | Robert Telford Bennett | Behavioral Analyst | 116 E Pierce St, Mangum, OK 73554-4295 | 2007-07-13 |
| 1760600761 | Robert Bennett | Counselor | 5909 South Santa Fe Drive, Littleton, CO 80120-2910 | 2007-04-23 |
| 1285786525 | Robert Russell Bennett | Chiropractor | 21885 Highway 62, Shady Cove, OR 97539 | 2007-01-17 |
| 1255498218 | Robert L Bennett IIi | Speech-Language Pathologist | 613 Winifred Rd, Leesburg, GA 31763-5342 | 2007-01-02 |
| 1508942491 | Robert C. Bennett | Dentist | 506 Marshall St, Mcmechen, WV 26040-1041 | 2006-10-31 |
| 1518906718 | Robert J Bennett | Counselor | 2020 Greystem Circle, Apt 104, Gurnee, IL 60031-2197 | 2006-06-05 |
| 1518906825 | Robert Daniel Bennett | Surgery | 300 N Highland Ave Ste 315, Sherman, TX 75092-7389 | 2006-06-05 |
| Street Address |
2737 YOUNGSTOWN RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124293352 | William Theron Aley-byrne | Social Worker | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2008-04-29 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
| 1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
| 1477177145 | Tori Clay | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-29 |
| 1386265197 | Mary Ann Stewart | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-04 |
| 1326677824 | Jillian Tablack | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-04-06 |
| 1215562707 | Thomas Radabaugh | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790216448 | Jeannie Gurich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Rd. Se, Warren, OH 44483 | 2017-03-24 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1376805515 | 10th District Substance Abuse Treatment Center | Substance Abuse Rehabilitation Facility | 412 York St, Warren, AR 71671-3218 | 2012-06-13 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1447877147 | Open Water Counseling and Recovery, LLC | Substance Abuse Rehabilitation Facility | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2020-06-29 |
| 1013533173 | Diane Smolak | Substance Abuse Rehabilitation Facility | 4930 Enterprise Dr Nw, Warren, OH 44481-8706 | 2020-06-24 |
| 1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
| 1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
| Find all providers in WARREN | ||||
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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.