SHAWNEE MENTAL HEALTH CENTER INC (NPI# 1336173236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336173236 |
| Entity Type | Organization |
| 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 | 2006-07-10 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | MR. FRANK DONALD THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403532290 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0308 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0200599 | 05 |
| 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 |
| 1184980625 | Shawnee Mental Health Center Inc | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2012-04-10 |
| 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 | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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|---|---|---|---|---|
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| 1679174890 | Cardinal Treatment Centers Inc | Clinic/Center | 4312 Old Scioto Trl, Portsmouth, OH 45662-6642 | 2020-11-04 |
| 1528622909 | Olde Port Counseling, Pllc | Clinic/Center | 406 The Hl, Portsmouth, NH 03801-3736 | 2019-05-01 |
| 1477015923 | Katelyn Gelineau, Pllc | Clinic/Center | 426 Middle St, Portsmouth, NH 03801-5017 | 2019-04-03 |
| 1982105664 | Surviving Our Losses and Continuing Everyday, Inc. | Clinic/Center | 729 6th St, Portsmouth, OH 45662-4030 | 2018-02-27 |
| 1083123525 | Jennifer Golia Lmft Pllc | Clinic/Center | 240 Islington St, Portsmouth, NH 03801-7237 | 2017-09-27 |
| 1184866683 | Kathleen G. Sawler, Licsw, LLC | Clinic/Center | 1 Greenleaf Woods Dr, #302, Portsmouth, NH 03801-5437 | 2009-03-30 |
| 1013092857 | Seacoast Mental Health Center, Inc. | Clinic/Center | 1145 Sagamore Ave, Portsmouth, NH 03801-5585 | 2006-10-26 |
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| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| 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.