CHILDRENS DIAGNOSTIC CENTER (NPI# 1881954287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881954287 |
| Entity Type | Organization |
| Organization Name | CHILDRENS DIAGNOSTIC CENTER |
| Other Organization Name | CDC MENTAL HEALTH SERVICES |
| Practice Address |
2100 Pleasant Ave Hamilton OH 45015-1133 |
| Practice Telephone | 5138681562 |
| Practice Fax Number | 5138681415 |
| Mailing Telephone | 5138681562 |
| Mailing Fax Number | 5138681415 |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-05-21 |
| Authorized Official Name | DR. WALTER S SMITSON (PRESIDENT / CEO) |
| Authorized Official Telephone | 5135589015 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 10057 | OH | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CARF | 41177 | 01 |
| OH | MC-07-04 | 05 |
| Other Name | Type Code |
|---|---|
| CDC Mental Health Services | Doing Business As Name - Organization |
| Street Address |
2100 PLEASANT AVE |
| City | HAMILTON |
| State | OH |
| Zip Code | 45015-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760494397 | Children's Diagnostic Center, Inc. | Clinic/Center | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2006-08-12 |
| 1508423807 | Jerome Dace | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2019-05-22 |
| 1720570948 | Madesyn Devivo | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015 | 2018-06-04 |
| 1013410208 | Connie Hauser | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015 | 2018-03-14 |
| 1407354640 | Lynell Kimberli Anderson | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-23 |
| 1720586951 | Bo Jacquelyn King | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-23 |
| 1255849972 | Jennifer Lynn Carrell | Counselor | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-16 |
| 1255849329 | Shanda Smith-brooks | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-11 |
| 1669989729 | Dominique Renee Wiggins | Social Worker | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-10 |
| 1467969527 | Sean Pennington | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164902342 | Andrew Bridges | Rehabilitation Counselor | 3101 Dixie Highway, Hamilton, OH 45015 | 2018-08-17 |
| 1689054520 | Stephanie Cornett | Day Training/Habilitation Specialist | 901 Triffin Ave, Hamilton, OH 45015 | 2015-06-05 |
| 1326457185 | Jennifer Lynn Wilson | Counselor | 3101dixie Hwy, Hamilton, OH 45015 | 2014-08-06 |
| 1346657731 | Mary Lisle | Social Worker | 3401 Dixie Hwy, Hamilton, OH 45015 | 2014-07-17 |
| 1598938656 | Eckart Wallisch | Psychologist | 2100 Plesant Avenue, Hamilton, OH 45015 | 2008-04-10 |
| 1750551669 | Joan M Neuhaus | Social Worker | 2100 Pleasant Avenue, Hamilton, OH 45015 | 2008-03-06 |
| 1104906007 | Hamilton Lindenwald Chiropractic Inc | Chiropractor | 3590 Pleasant Ave, Hamilton, OH 45015 | 2006-10-16 |
| 1578650008 | Hamilton Lindenwald Chiropractic Ctr Inc | Chiropractor | 3590 Pleasant Avenue, Hamilton, OH 45015 | 2006-10-06 |
| 1003900580 | Frederick David Hogan | Dentist | 2428 Pleasant Ave, Hamilton, OH 45015 | 2006-10-02 |
| 1548248024 | Paul P Yang | Emergency Medicine | 3570 Pleasant Ave., Hamilton, OH 45015 | 2006-01-05 |
| Find all providers in zip 45015 | ||||
| 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 |
|---|---|---|---|---|
| 1689200800 | Have Faith Behavioral Health LLC | Community/Behavioral Health | 2222 Route 33 Ste H, Hamilton, NJ 08690-1752 | 2020-03-19 |
| 1639710098 | The Arc/mercer Inc. | Community/Behavioral Health | 88 Village Dr E, Hamilton, NJ 08620-1320 | 2019-10-07 |
| 1174164065 | Neighbours-inc | Community/Behavioral Health | 1446 Nottingham Way Apt 1, Hamilton, NJ 08609-1919 | 2019-10-02 |
| 1063053981 | Neighbours-inc | Community/Behavioral Health | 1448 Nottingham Way Apt 1, Hamilton, NJ 08609-1919 | 2019-10-02 |
| 1083255970 | Neighbours-inc | Community/Behavioral Health | 1450 Nottingham Way Apt 1, Hamilton, NJ 08609-1919 | 2019-10-02 |
| 1629566575 | The Arc/mercer Inc. | Community/Behavioral Health | 12 Compton Way, Hamilton, NJ 08690-3948 | 2018-04-26 |
| 1346738291 | The Arc/mercer Inc. | Community/Behavioral Health | 236 Murray Ave, Hamilton, NJ 08620-9764 | 2018-04-26 |
| 1710486766 | Merakey New Jersey | Community/Behavioral Health | 216 Borden Ave, Hamilton, NJ 08610 | 2018-02-06 |
| 1811418908 | Serv Achievement Centers Inc | Community/Behavioral Health | 6 Lohli Dr, Hamilton, NJ 08690-2412 | 2017-06-29 |
| 1912433251 | Reach One Support Services | Community/Behavioral Health | 6 S 2nd St Ste 824, Hamilton, OH 45011-2869 | 2017-05-05 |
| Find all providers in HAMILTON | ||||
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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.