MENTAL HEALTH SERVICES FOR CLARK CO INC. (NPI# 1417948407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417948407 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH SERVICES FOR CLARK CO INC. |
| Other Organization Name | MENTAL HEALTH SERVICES FOR CLARK AND MADISON COUNTIES, INC. |
| Practice Address |
474 North Yellow Springs Street Springfield OH 45504-2463 |
| Mailing Address |
474 North Yellow Springs Street Springfield OH 45504 |
| Practice Telephone | 9373999500 |
| Practice Fax Number | 9373424242 |
| Mailing Telephone | 9373999500 |
| Mailing Fax Number | 9373424242 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2013-08-22 |
| Authorized Official Name | MR. JAMES P PERRY (CEO) |
| Authorized Official Telephone | 9373999500 |
| Authorized Official Credential | PHD. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | PPH-05-2406 | OH | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2357962 | 05 |
| Other Name | Type Code |
|---|---|
| Mental Health Services for Clark and Madison Counties, Inc. | Doing Business As Name - Organization |
| Street Address |
474 NORTH YELLOW SPRINGS STREET |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45504-2463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083251227 | Brent Eresman | Massage Therapist | 25 W. Harding Rd, Springfield, OH 45504 | 2019-12-06 |
| 1346728300 | Bruns and Cross, LLC | Hearing Aid Equipment | 1905 West North Street, Springfield, OH 45504 | 2018-08-01 |
| 1376054197 | Trilogy Healthcare Operations of Springfield II, LLC | Skilled Nursing Facility | 2900 Bechtle Avenue, Springfield, OH 45504 | 2017-10-19 |
| 1639573967 | Lindsay Ann Brumfield | Speech-Language Pathologist | 643 Mayhill Road, Springfield, OH 45504 | 2014-10-15 |
| 1447662788 | Garrett Hayman | Chiropractor | 1052 Upper Valley Pike, Springfield, OH 45504 | 2014-05-21 |
| 1538582291 | Jerry Newport | Counselor | 474 N. Yellow Springs St, Mental Health Services for Clark and Madison Counties, Springfield, OH 45504 | 2014-01-30 |
| 1700217999 | Olivia Masters | Speech-Language Pathologist | 1600 St. Paris Rd., Springfield, OH 45504 | 2013-12-12 |
| 1972840312 | Luke N. Onuorah | Internal Medicine | 30 W Mccreight Ave Ste 106, Springfield, OH 45504 | 2013-01-04 |
| 1912208414 | Flexeon Rehabilitation Springfield Ohio, LLC | Clinic/Center | 1303 West 1st Street, Springfield, OH 45504 | 2010-11-15 |
| 1205137577 | Erin Elizabeth George | Social Worker | 30 W Mccreight Ave Ste 204, Springfield, OH 45504 | 2010-11-03 |
| Find all providers in zip 45504 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033397138 | Springfield Hospital, Inc. | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-01-31 |
| 1467430124 | Illinois Department of Human Services | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2006-01-04 |
| 1386271054 | Lakeland Hospital Acquisition, LLC | Psychiatric Hospital | 440 S Market Ave, Springfield, MO 65806-2026 | 2020-03-24 |
| 1194211037 | Springfield Behavioral Hospital, LLC | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2018-07-03 |
| 1821524034 | Ozarks Community Hospital, Inc. | Psychiatric Hospital | 2828 N National Ave, Springfield, MO 65803-4306 | 2017-05-08 |
| 1619318557 | Springfield Hospital Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2013-07-08 |
| 1285803007 | Springfield Hospital, Inc | Psychiatric Hospital | 5230 S 6th Street Rd, Springfield, IL 62703-5128 | 2008-02-26 |
| 1386798627 | Dhs Central Pharmacy | Psychiatric Hospital | 901 Southwind Dr, Springfield, IL 62703-5125 | 2007-01-23 |
| 1093740128 | Lester E Cox Medical Centers | Psychiatric Hospital | 3801 S National Ave, Springfield, MO 65807-5210 | 2006-07-11 |
| 1114924768 | Sgoh Acquisition Inc | Psychiatric Hospital | 1540 E Evergreen St, Springfield, MO 65803-4300 | 2005-06-28 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45504 |
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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.