MAHAJAN THERAPEUTICS, LLC (NPI# 1669531810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669531810 |
Entity Type | Organization |
Organization Name | MAHAJAN THERAPEUTICS, LLC |
Practice Address |
6300 N Main St Dayton OH 45415-3154 |
Practice Telephone | 9372751500 |
Practice Fax Number | 9372751555 |
Mailing Telephone | 9372751500 |
Mailing Fax Number | 9372751555 |
Enumeration Date | 2006-12-06 |
Last Update Date | 2013-07-11 |
Authorized Official Name | DR. MAHENDRA K MAHAJAN (DIRECTOR) |
Authorized Official Telephone | 9372757500 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | 586 | OH | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730719543 | Mahajan Therapeutics, LLC | Clinic/Center | 6300 N Main St, Dayton, OH 45415-3154 | 2020-01-21 |
Street Address |
6300 N MAIN ST |
City | DAYTON |
State | OH |
Zip Code | 45415-3154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700989514 | Mahendra Kumar Mahajan | Psychiatry & Neurology | 6300 N Main St, Ste 3, Dayton, OH 45415-3154 | 2006-09-07 |
1144820085 | Kayleen Bingham | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2020-10-29 |
1457951766 | Amber Shepard | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-10-27 |
1720694276 | Kelsey Thorson | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-21 |
1801401625 | Kevin Salsbury | Counselor | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-09 |
1003421868 | Caitlyn Carpenter | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-09-09 |
1720691850 | Tonya Brock | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-28 |
1083227144 | Branden Edmondson | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-28 |
1205449261 | Brad Gibson | Registered Nurse | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-28 |
1306457106 | Emilie Sturgill | Case Manager/Care Coordinator | 6300 N Main St, Dayton, OH 45415-3154 | 2020-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457881062 | Angelique Oluyitan | Registered Nurse | 50 Granite Dr, Dayton, OH 45415 | 2017-06-15 |
1255869244 | Sherry Marie Buchanan | Occupational Therapy Assistant | 140 Ewoodbury Dr, Dayton, OH 45415 | 2017-06-02 |
1417328972 | Thomas Riddell | Hearing Instrument Specialist | 5525 N. Main St, Dayton, OH 45415 | 2015-10-09 |
1932448537 | Mory Summer | General Practice | 141 Trailwoods Dr., Dayton, OH 45415 | 2013-02-04 |
1184909095 | Yolanda Jean Jenkins | Registered Nurse | 6339 Afton Drive, Dayton, OH 45415 | 2011-10-12 |
1023392560 | Megan E Betts | Specialist/Technologist, Other | 9000 N Main St. Ste 303, Dayton, OH 45415 | 2011-10-03 |
1356655195 | Gwendolyn L. Warren | Massage Therapist | 8393 N. Main St., Ste B, Dayton, OH 45415 | 2010-08-04 |
1811141559 | Dayton Physicians, LLC | Durable Medical Equipment & Medical Supplies | 9000 N Main St Suite 333, Dayton, OH 45415 | 2008-11-07 |
1730331224 | Joel Metze | Obstetrics & Gynecology | 9000 N Main St Ste 232, Englewood, OH 45415 | 2008-10-16 |
1023236247 | James Otis Hurst | Dentist | 9000 N. Main Street, Suite 207, Dayton, OH 45415 | 2007-04-23 |
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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 |
---|---|---|---|---|
1619525763 | Essential Reflections Counseling and Consultation, LLC | Community/Behavioral Health | 4130 Linden Ave Ste 320, Dayton, OH 45432-3034 | 2019-09-02 |
1447807524 | Marathon Recovery Services | Community/Behavioral Health | 25 Marathon Ave, Dayton, OH 45405-3613 | 2019-08-22 |
1205392677 | Victory Town Community Foundation | Community/Behavioral Health | 5200 Philadelphia Dr, Dayton, OH 45415-3608 | 2019-02-11 |
1861987364 | Daybreak, Inc | Community/Behavioral Health | 701 S Patterson Blvd, Dayton, OH 45402-2620 | 2018-06-27 |
1619461555 | Tryyun Yarbrough | Community/Behavioral Health | 166 Henry St, Dayton, OH 45403-2398 | 2018-06-14 |
1922591833 | Fernandis Wayne Jenkins | Community/Behavioral Health | 601 Xenia Ave, Dayton, OH 45410-1825 | 2018-06-14 |
1780178624 | Marilyn Yvonne Davis | Community/Behavioral Health | 166 Henry St Apt 2, Dayton, OH 45403-2343 | 2018-06-14 |
1295228195 | Aaren Nicole Scandrick | Community/Behavioral Health | 166 Henry St Apt 5, Dayton, OH 45403-2343 | 2018-06-14 |
1568998904 | Project Cure Inc | Community/Behavioral Health | 1800 N. James Mcgee Blvd, Dayton, OH 45417-9526 | 2017-05-04 |
1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
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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.