SOURCEONE GROUP INC (NPI# 1447346564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447346564 |
| Entity Type | Organization |
| Organization Name | SOURCEONE GROUP INC |
| Other Organization Name | SOURCEONE |
| Practice Address |
210 E Milltown Rd Suite B Wooster OH 44691-1246 |
| Practice Telephone | 3303450955 |
| Practice Fax Number | 3303453420 |
| Mailing Telephone | 3303450955 |
| Mailing Fax Number | 3303453420 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-14 |
| Authorized Official Name | SUSAN D. BUCHWALTER (PRESIDENT/CEO) |
| Authorized Official Telephone | 3303450955 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
OH | Ambulatory Health Care Facilities | |
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OH | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| SourceOne | Doing Business As Name - Organization |
| Street Address |
210 E MILLTOWN RD SUITE B |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-1246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705741 | Leo T Kempel | Psychologist | 210 E Milltown Rd, Suite B, Wooster, OH 44691-1246 | 2005-10-25 |
| 1316504129 | Jacquelyn Lawson | Physical Therapist | 210 E Milltown Rd, Wooster, OH 44691-1200 | 2019-05-28 |
| 1184151961 | Emily Heller | Speech-Language Pathologist | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2017-05-11 |
| 1902332661 | Virginia Oliver | Speech-Language Pathologist | 210 E Milltown Rd, Wooster, OH 44691-1246 | 2017-05-02 |
| 1467991091 | Jennifer Prosser | Occupational Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2017-02-15 |
| 1730634437 | Heather Geiser | Physical Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2016-08-23 |
| 1548626153 | Andrea Gasser | Physical Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2016-01-12 |
| 1447616115 | Patti Wise | Occupational Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2016-01-11 |
| 1922470764 | Bernice Shepler | Physical Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2015-10-20 |
| 1841660446 | Jill Miller | Occupational Therapy Assistant | 210 E Milltown Rd, Suite A, Wooster, OH 44691-1246 | 2015-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588694590 | Christian Children's Home of Ohio | Clinic/Center | 2685 Armstrong Rd, Wooster, OH 44691-9041 | 2006-07-04 |
| 1215975685 | Counseling Center of Wayne & Holmes Counties | Clinic/Center | 2285 Benden Dr, Wooster, OH 44691-2568 | 2006-06-04 |
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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.