CENTERVILLE CLINICS, INC. (NPI# 1619145760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619145760 |
| Entity Type | Organization |
| Organization Name | CENTERVILLE CLINICS, INC. |
| Practice Address |
37 Highland Ave Washington PA 15301-4062 |
| Mailing Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7242284218 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2008-02-12 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL AND FINANCE) |
| Authorized Official Telephone | 7246326801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440074 | 05 | |
| PA | VALUE BEHAVIORAL HEALTH | 328834A336347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| 1932450509 | Centerville Clinics, Inc. | Specialist | 3214 Constitution Blvd, Claysville, PA 15323-1333 | 2012-09-24 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1154508620 | Centerville Clinics, Inc. | Community/Behavioral Health | 201 Alwine Ave, Greensburg, PA 15601-3211 | 2008-01-28 |
| 1073734281 | Centerville Clinics, Inc. | Clinic/Center | 200 Chamber Plz, Charleroi, PA 15022-1605 | 2007-05-02 |
| 1043430267 | Centerville Clinics, Inc. | Clinic/Center | 1006 Main Street, Republic, PA 15475 | 2007-04-27 |
| 1124191671 | Centerville Clinics, Inc. | Clinic/Center | 130 California Rd, Brownsville, PA 15417-9312 | 2006-11-15 |
| 1932181047 | Centerville Clinics, Inc. | Dental Assistant | 1006 Main Street, Republic, PA 15475 | 2005-11-15 |
| 1275514531 | Centerville Clinics, Inc. | Internal Medicine | 1150 7th St, Waynesburg, PA 15370-1660 | 2005-11-14 |
| Street Address |
37 HIGHLAND AVE |
| City | WASHINGTON |
| State | PA |
| Zip Code | 15301-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679579601 | Linda Louise Clemons | Nurse Practitioner | 37 Highland Ave, Washington, PA 15301-4062 | 2005-06-23 |
| 1447874474 | Carolyn J Cooper | Counselor | 37 Highland Ave, Washington, PA 15301-4062 | 2020-06-05 |
| 1083240121 | Jennifer Lynn Boyd | Dental Hygienist | 37 Highland Ave, Washington, PA 15301-4062 | 2020-03-20 |
| 1326686882 | Amy Lynn Goodwin | Nurse Practitioner | 37 Highland Ave, Washington, PA 15301-4062 | 2019-12-16 |
| 1417424276 | Justin Trunzo | Nurse Practitioner | 37 Highland Ave, Washington, PA 15301-4062 | 2018-10-30 |
| 1861935058 | Cortney Smith | Registered Nurse | 37 Highland Ave, Washington, PA 15301-4062 | 2016-11-21 |
| 1124497995 | Michelle M Cohen | Nurse Practitioner | 37 Highland Ave, Washington, PA 15301-4062 | 2015-09-22 |
| 1225429129 | John Reed Beabout Jr. | Nurse Practitioner | 37 Highland Ave, Washington, PA 15301-4062 | 2015-02-12 |
| 1528200565 | Anis Fatima | Family Medicine | 37 Highland Ave, Washington, PA 15301-4062 | 2009-04-06 |
| 1043467194 | Pankaj Thakur | Family Medicine | 37 Highland Ave, Washington, PA 15301-4062 | 2008-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601208 | Tammi Kathleen Hanak | Speech-Language Pathologist | 2212 Shawnee Drive, Address Line 2, Washington, PA 15301 | 2020-02-21 |
| 1922652460 | Shannon Rouse | Nurse Practitioner | 95 Leonard Avenue Building 2 2nd Floor, Washington, PA 15301 | 2019-08-01 |
| 1700352291 | Heather Mcvay PC | Clinic/Center | 2112 North Franklin Dr, Suite 3, Washington, PA 15301 | 2018-10-23 |
| 1689169880 | Oper King | Counselor | 8 Oliver Rd, Oliver Square Suite 116, Uniontown, PA 15301 | 2018-06-29 |
| 1609374701 | Centerville Clinics Inc | Social Worker | 201 Allison Ave, Washington High School, Washington, PA 15301 | 2018-01-24 |
| 1902304009 | Centerville Clinics, Inc. | Social Worker | 50 Scenic Drive, Trinity Middle School, Washington, PA 15301 | 2018-01-24 |
| 1780182873 | Centerville Clinics, Inc | Social Worker | 252 Cameron Road, Trinity East Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1700384807 | Centerville Clinics Inc | Social Worker | 801 East Wheeling St., Washington Park Elementary, Washington, PA 15301 | 2018-01-24 |
| 1992203095 | Centerville Clinics Inc | Social Worker | 2500 South Main St Ext., Trinity South Elementary School, Washington, PA 15301 | 2018-01-24 |
| 1578061784 | Centerville Clinics, Inc. | Social Worker | 225 Midland Drive, Trinity North Elelmentary School, Washington, PA 15301 | 2018-01-23 |
| Find all providers in zip 15301 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558969741 | Centerville Clinics Inc | Community/Behavioral Health | Centerville Clinics-intensive Behavioral Health Service, 37 Highland Avenue, Washington, PA 15301-4062 | 2020-10-12 |
| 1619588522 | Royal Healthcare LLC | Community/Behavioral Health | 3502 18th St Ne # 2, Washington, DC 20018-2738 | 2020-08-13 |
| 1669098802 | Kairos Behavioral Healthcare | Community/Behavioral Health | 3106 Pennsylvania Ave Se, Washington, DC 20020-3710 | 2020-06-23 |
| 1255956603 | Lynz Consulting LLC | Community/Behavioral Health | 2310 Ashmead Pl Nw Apt 307, Washington, DC 20009-1432 | 2020-06-11 |
| 1801423314 | Wise Human Services | Community/Behavioral Health | 126 Belvidere Ave, Washington, NJ 07882-1417 | 2020-03-25 |
| 1417583360 | Professional Counseling Connections | Community/Behavioral Health | 3021 Highway A Ste 104, Washington, MO 63090-5498 | 2020-03-22 |
| 1891326104 | For Us Therapeutics Counseling & Consulting Services, LLC | Community/Behavioral Health | 1425 Hst, Ne, Washington, DC 20002 | 2020-01-27 |
| 1033757232 | District of Columbia Recovery Community Alliance Inc | Community/Behavioral Health | 5656a 3rd St Ne, Washington, DC 20011-2532 | 2019-12-18 |
| 1043851868 | J. Francis Black LLC | Community/Behavioral Health | 3000 Connecticut Ave Nw Ste 137, Washington, DC 20008-2549 | 2019-10-02 |
| 1689222804 | Samantha Morrell LLC | Community/Behavioral Health | 1724 20th St Nw Ste 202, Washington, DC 20009-1355 | 2019-08-30 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 15301 |
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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.