SHAWNEE MENTAL HEALTH CENTER INC (NPI# 1184980625) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184980625 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Other Organization Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Practice Address |
901 Washington St Portsmouth OH 45662-3944 |
| Practice Telephone | 7403547702 |
| Practice Fax Number | 7403531662 |
| Mailing Telephone | 7403547702 |
| Mailing Fax Number | 7403531662 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2012-04-10 |
| Authorized Official Name | DON THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403547702 |
| Authorized Official Credential | L.I.S.W |
| Is Organization Subpart | Y |
| Parent Organization Name | SHAWNEE MENTAL HEALTH CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Shawnee Mental Health Center Inc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336777077 | Shawnee Mental Health Center Inc | Clinic/Center | 1225 Gallia St Rm 121, Portsmouth, OH 45662-4216 | 2020-03-30 |
| 1497098321 | Shawnee Mental Health Center Inc | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2013-03-28 |
| 1336173236 | Shawnee Mental Health Center Inc | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2006-07-10 |
| Street Address |
901 WASHINGTON ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526985 | Jessica Collier | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-10-22 |
| 1487253258 | Holly Hamilton | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-10-22 |
| 1265055867 | Erica C Pauley | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-05-19 |
| 1821625807 | Tiffany Jo Crabtree | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-03-27 |
| 1407493380 | Jaclyn Syroney | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-12-10 |
| 1770125338 | Erica Blake | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-10-15 |
| 1356991319 | Bethany Payne | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-09-12 |
| 1124677240 | Gina Book | Counselor | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-09-11 |
| 1790338390 | Destiny Arthurs | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-07-23 |
| 1487215091 | Stacey Williams | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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|---|---|---|---|---|
| 1992984918 | Mohammad Yunas Md Ltd | Clinic/Center | 3003 High St, Portsmouth, VA 23707-3424 | 2007-10-26 |
| 1730682733 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-03-15 |
| 1114426186 | Surviving Our Losses and Continuing Everyday | Clinic/Center | 729 6th St, Portsmouth, OH 45662-4030 | 2018-02-06 |
| 1952754483 | Hampton Roads Community Health Center | Clinic/Center | 664 Lincoln St, Portsmouth, VA 23704-4818 | 2016-07-20 |
| 1326497322 | The Workman Center, A&i | Clinic/Center | 1616 Grant St, Portsmouth, OH 45662-3663 | 2016-06-09 |
| 1528474640 | Grazier Chiropractic Health Center | Clinic/Center | 504 Middle St, Portsmouth, NH 03801-5018 | 2014-07-09 |
| 1447413141 | Greater Seacoast Community Health | Clinic/Center | 100 Campus Dr, Suite 12, Portsmouth, NH 03801-5892 | 2008-07-03 |
| 1164574950 | Pediatric Health Partners,pllc | Clinic/Center | 3701 South St, Portsmouth, VA 23707-3121 | 2007-01-18 |
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| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.