CHILD ANXIETY CENTER


Address: 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789
Phone: 5135472861

CHILD ANXIETY CENTER (NPI# 1881208189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881208189
Entity Type Organization
Organization Name CHILD ANXIETY CENTER
Practice Address 4555 Lake Forest Dr Ste 650
Blue Ash
OH 45242-3789
Practice Telephone 5135472861
Mailing Telephone 5135472861
Enumeration Date 2020-09-03
Last Update Date 2020-09-03
Authorized Official Name DR. NATHAN FITE (CLINICAL DIRECTOR AND OWNER)
Authorized Official Telephone 5133198062
Authorized Official Credential PHD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
OH 1114378890 05
OH 1467905778 05
KS 1356856231 05

Office Location

Street Address 4555 LAKE FOREST DR STE 650
City BLUE ASH
State OH
Zip Code 45242-3789

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Competitor

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City BLUE ASH
Zip Code 45242

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Dataset Information

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.

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