CARDINAL TREATMENT CENTERS INC (NPI# 1215589197) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215589197 |
| Entity Type | Organization |
| Organization Name | CARDINAL TREATMENT CENTERS INC |
| Practice Address |
4312 Old Scioto Trl Portsmouth OH 45662-6642 |
| Practice Telephone | 7403519298 |
| Practice Fax Number | 7409346011 |
| Mailing Telephone | 7408211737 |
| Mailing Fax Number | 7409346011 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | ALBERT SHKLYAR (OFFICER) |
| Authorized Official Telephone | 5163432772 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174890 | Cardinal Treatment Centers Inc | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-11-04 |
| Street Address |
4312 OLD SCIOTO TRL |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-6642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902156003 | Recovery Associates Inc. | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2012-09-16 |
| 1679174890 | Cardinal Treatment Centers Inc | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-11-04 |
| 1932715141 | Yana Smith | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-09-22 |
| 1487268900 | Sarah Michelle Lamb | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-09-02 |
| 1184258816 | Nick Perkins | Peer Specialist | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-03-03 |
| 1700239423 | Eric W Carter | Nurse Anesthetist, Certified Registered | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2016-07-18 |
| 1467821488 | Peggy Gemperline | Registered Nurse | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2015-09-21 |
| 1356724876 | Selfrefind Ohio LLC | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2015-07-01 |
| 1639429731 | Recovery Behavioral Healthcare LLC | Counselor | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2012-09-16 |
| 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 | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902373046 | Adcare Rhode Island | Clinic/Center | 11 King Charles Dr Ste A2, Portsmouth, RI 02871-1364 | 2018-10-26 |
| 1356724876 | Selfrefind Ohio LLC | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2015-07-01 |
| 1023359122 | P and R Recovery Services LLC | Clinic/Center | 11 King Charles Dr, A2, Portsmouth, RI 02871-1446 | 2013-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205435369 | Sunrise Treatment Center, LLC | Clinic/Center | 1718 Central Pkwy, Cincinnati, OH 45214-2355 | 2020-10-20 |
| 1922607266 | Full Circle Recovery of Circleville | Clinic/Center | 2065 Stoneridge Dr, Circleville, OH 43113-8956 | 2020-10-19 |
| 1689271827 | Chillicothe Acute Care Clinic, Inc. | Clinic/Center | 5555 Airport Hwy Ste 132, Toledo, OH 43615-7380 | 2020-10-01 |
| 1649894262 | Workit Health (oh) LLC | Clinic/Center | 5836 Del Ln, Waterville, OH 43566-9484 | 2020-05-29 |
| 1205455508 | Sunrise Treatment Center - Piqua | Clinic/Center | 1130 Garbry Rd, Piqua, OH 45356-8217 | 2020-04-16 |
| 1043863384 | Team Recovery Ohio, LLC | Clinic/Center | 1618 W Sylvania Ave, Toledo, OH 43612-1589 | 2019-07-16 |
| 1568926376 | Square One Health LLC | Clinic/Center | 620 W 44th St, Ashtabula, OH 44004-6812 | 2019-01-25 |
| 1700357829 | Lovel Henderson Jr | Clinic/Center | 6600 Lexington Ave, Cleveland, OH 44103 | 2018-12-16 |
| 1669942934 | Baymark Health Services of Ohio | Clinic/Center | 833 E Broad St Unit 1, Elyria, OH 44035-6557 | 2018-11-29 |
| 1841760113 | Baymark Health Services of Ohio | Clinic/Center | 36001 Euclid Ave Ste B1, Willoughby, OH 44094-4643 | 2018-11-29 |
| 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.