PROFESSIONAL PSYCHIATRIC SERVICES, LLC (NPI# 1295348290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295348290 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL PSYCHIATRIC SERVICES, LLC |
| Practice Address |
9117 Cincinnati Columbus Rd West Chester OH 45069-3701 |
| Mailing Address |
Po Box 808 Mason OH 45040-0808 |
| Practice Telephone | 5132297585 |
| Practice Fax Number | 5132297731 |
| Mailing Telephone | 5132297585 |
| Mailing Fax Number | 5132297731 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Authorized Official Name | MOHAMED ABDEL AZIZ (CEO / OWNER) |
| Authorized Official Telephone | 5132297585 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PROFESSIONAL PSYCHIATRIC SERVICES LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407166077 | Professional Psychiatric Services, LLC | Psychiatry & Neurology | 6203 Constitution Dr, Fort Wayne, IN 46804-1517 | 2010-10-18 |
| 1538115092 | Professional Psychiatric Services, LLC | Social Worker | 9117 Cincinnati Columbus Rd, West Chester, OH 45069 | 2006-05-26 |
| Street Address |
9117 CINCINNATI COLUMBUS RD |
| City | WEST CHESTER |
| State | OH |
| Zip Code | 45069-3701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068762 | West Chester Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2005-10-27 |
| 1477169258 | Taylor Schroeder | Nurse Practitioner | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2020-09-17 |
| 1518451780 | Central Pharmacy Services LLC | Pharmacy | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2018-06-20 |
| 1578005252 | Christopher Bueker | Counselor | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2016-11-10 |
| 1306285408 | Hospitality Care LLC | Assisted Living Facility | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2013-06-21 |
| 1306069117 | Jason Charles Burkart | Occupational Therapist | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2007-04-10 |
| 1972632032 | James Howard Hinman | Social Worker | 9117 Cincinnati Columbus Rd, West Chester, OH 45069-3701 | 2007-03-05 |
| 1538115092 | Professional Psychiatric Services, LLC | Social Worker | 9117 Cincinnati Columbus Rd, West Chester, OH 45069 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841891900 | Ami Hardik Parikh | Pharmacist | 8288 Cincinnati Dayton Road, West Chester, OH 45069 | 2020-11-05 |
| 1083215172 | Ashley Dozier | Pharmacist | 8288 Cincinnati-dayton Road, West Chester, OH 45069 | 2020-11-04 |
| 1891393575 | Georgia Leeanne Mako | Nurse Practitioner | Minute Clinic #2342, 7217 Cincinnati Dayton Rd, West Chester, OH 45069 | 2020-10-14 |
| 1407310832 | Holly N Retherford | Behavior Technician | 5900 West Chester Rd, Suite C, West Chester, OH 45069 | 2019-01-30 |
| 1669966933 | Caring Hearts Home Care, LLC. | Home Health | 8603 Cincinnati Columbus Rd., Ste. J, West Chester, OH 45069 | 2018-06-19 |
| 1538684972 | Elizabeth Stasser | Counselor | 5900 West Chester Road Suite C, West Chester, OH 45069 | 2017-08-07 |
| 1942720388 | All Caring Hospice Cincinnati Dayton, LLC | Hospice Care, Community Based | 8857 Cincinnati-dayton Road, Suite 101, West Chester, OH 45069 | 2017-06-27 |
| 1568991982 | Cassandra Jade Biltz | Speech-Language Pathologist | 8123 Mill Creek Cr, West Chester, OH 45069 | 2017-06-08 |
| 1316476732 | Christina Louise Kappen | Social Worker | 8904 Brookside Ave, West Chester, OH 45069 | 2017-06-08 |
| 1033644240 | Claire Stall | Pharmacist | 7675 Wellness Way Ste 100, West Chester, OH 45069 | 2017-04-25 |
| Find all providers in zip 45069 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508294653 | Race To Recovery Now Inc | Substance Abuse Rehabilitation Facility | 1132 Kolbe Ln, West Chester, PA 19382-7201 | 2013-10-29 |
| 1174987887 | Healthy Living Treatment, LLC | Substance Abuse Rehabilitation Facility | 7593 Tylers Place Blvd, West Chester, OH 45069-6312 | 2016-04-08 |
| 1326476474 | Race To Recovery Inc | Substance Abuse Rehabilitation Facility | 1132 Kolbe Ln, West Chester, PA 19382-7201 | 2013-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588270128 | Findlay Center for Recovery | Substance Abuse Rehabilitation Facility | 1800 Manor Hill Rd, Findlay, OH 45840-6612 | 2020-09-18 |
| 1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
| 1467060764 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Ln, Montgomery, OH 45242-5119 | 2020-07-22 |
| 1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
| 1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
| 1114535978 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 4365 Classic Dr, Blue Ash, OH 45241-2205 | 2020-07-17 |
| 1740800077 | Cairn Recovery Resources LLC | Substance Abuse Rehabilitation Facility | 217 Muskingum Ave, Zanesville, OH 43701-4957 | 2020-04-16 |
| 1013543982 | New Life Recovery, LLC | Substance Abuse Rehabilitation Facility | 14761 State Route 93 Unit 4, Jackson, OH 45640-9820 | 2020-03-23 |
| 1104450063 | Quest Recovery Center, LLC | Substance Abuse Rehabilitation Facility | 401 W High St Ste 9, Mount Vernon, OH 43050-2346 | 2020-02-28 |
| 1922638634 | Randall Jay Smith | Substance Abuse Rehabilitation Facility | 1321 S Westwood Dr, Zanesville, OH 43701-5650 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | WEST CHESTER |
| Zip Code | 45069 |
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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.