JOCELYN WILSON (NPI# 1235677592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235677592 |
| Entity Type | Individual |
| Full Name | JOCELYN WILSON |
| Practice Address |
182 Midlothian Ave Youngstown OH 44507 |
| Mailing Address |
238 S Meridian Rd Youngstown OH 44509-2925 |
| Practice Telephone | 3303183436 |
| Mailing Telephone | 3303183436 |
| Mailing Fax Number | 3303198800 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | OH | Residential Treatment Facilities | |
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548762925 | Jocelyn Wilson | Registered Nurse | 910 Sun Fire St Apt 424, El Paso, TX 79928-5022 | 2018-03-01 |
| 1265786974 | Jocelyn Wilson | Social Worker | 5254 S Dorchester Ave, Apt 301, Chicago, IL 60615-4125 | 2012-11-01 |
| 1407981277 | Jocelyn Wilson | Marriage & Family Therapist | 4410 Power Inn Rd, Sacramento, CA 95826-4352 | 2007-02-22 |
| 1568974095 | Jocelyn Wilson | Behavior Technician | 1363 Douglas Dr, Traverse City, MI 49696-8980 | 2017-10-24 |
| 1902241904 | Jocelyn Mary-estelle Wilson | Student in an Organized Health Care Education/Training Program | 601 Clara Barton Blvd, Suite 340, Garland, TX 75042-5738 | 2013-05-03 |
| Street Address |
182 MIDLOTHIAN AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406451 | Ashley L Moody | Home Health Aide | 3330 Hillman St, Youngstown, OH 44507 | 2018-08-08 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| 1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
| 1306218771 | Horizon Science Academy Youngstown | Local Education Agency (LEA) | 3403 Southern Blvd, Youngstown, OH 44507 | 2015-10-26 |
| 1780890400 | Sandra Kaye Stroughter | Home Health Aide | 3531 Hillman St., Apt 221, Youngstown, OH 44507 | 2007-05-16 |
| 1215158217 | Jessie Martin | Licensed Practical Nurse | 29 E. Philadelphia, Youngstown, OH 44507 | 2007-05-01 |
| 1003847930 | Daniel Raymond Armeni | Dentist | 242 E Midlothian Blvd, Youngstown, OH 44507 | 2006-07-06 |
| 1740251131 | Rebecca S Hughes | Registered Nurse | 77 E Midlothian Blvd, Youngstown, OH 44507 | 2006-02-01 |
| 1184288292 | Safe Ride A&s Transportation | Non-emergency Medical Transport (VAN) | 3330 Hillman St, Youngstown, OH 44507 | 2019-04-24 |
| 1366958803 | Amy Marie Von Kennen | Counselor | 2151 Rush Blvd, Youngstown, OH 44507 | 2017-12-20 |
| Find all providers in zip 44507 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477048916 | Safehouse Ministries, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 3164 Eastview Dr, Youngstown, OH 44505 | 2018-06-27 |
| 1366962847 | New Beginnings Residential Treatment Center, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2017-06-26 |
| 1245644921 | New Beginnings Residential Treatment Center, LLC | Residential Treatment Facility, Emotionally Disturbed Children | 100 Broadway Ave, Youngstown, OH 44505-2789 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912311937 | Katina Nichols | Residential Treatment Facility, Emotionally Disturbed Children | 2645 Blue Heron Dr, Hudson, OH 44236-1868 | 2014-06-18 |
| 1912223157 | The Center for Child&family Development | Residential Treatment Facility, Emotionally Disturbed Children | 1930 Maple Ave, Zanesville, OH 43701-2238 | 2010-04-13 |
| 1619097052 | Redemption, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 11780 Western Reserve Rd, Salem, OH 44460-7619 | 2007-03-30 |
| 1699899864 | Charles Lamont Hankton | Residential Treatment Facility, Emotionally Disturbed Children | 5593 Carlton Dr, Bedford Hts, OH 44146-2329 | 2007-03-16 |
| 1548288350 | Talbert House | Residential Treatment Facility, Emotionally Disturbed Children | 9018 Cincinnati Columbus Rd, West Chester, OH 45069-3565 | 2006-07-18 |
| 1245262799 | Lutheran Homes Society, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1905 Perrysburg Holland Rd, Holland, OH 43528-9582 | 2006-07-07 |
| 1578528014 | Rosemont Center | Residential Treatment Facility, Emotionally Disturbed Children | 2440 Dawnlight Ave, Columbus, OH 43211-1934 | 2006-04-18 |
| 1740244284 | Oesterlen Services for Youth, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1918 Mechanicsburg Rd, Springfield, OH 45503-3147 | 2006-04-13 |
| 1184687030 | Oak Ridge Treatment Center Acq Corp | Residential Treatment Facility, Emotionally Disturbed Children | 115 Private Road 977 County Road 44 North, Pedro, OH 45659 | 2006-04-11 |
| 1528035631 | Positive Education Program | Residential Treatment Facility, Emotionally Disturbed Children | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2006-03-07 |
| Find all providers with the same taxonomy | ||||
| City | YOUNGSTOWN |
| Zip Code | 44507 |
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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.