CHILDREN'S DIAGNOSTIC CENTER, INC. (NPI# 1760494397) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760494397 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DIAGNOSTIC CENTER, INC. |
| Practice Address |
2100 Pleasant Ave Hamilton OH 45015-1133 |
| Practice Telephone | 5138681562 |
| Practice Fax Number | 5138681415 |
| Mailing Telephone | 5138681562 |
| Mailing Fax Number | 5138681415 |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALTER S SMITSON (PRESIDENT/CEO) |
| Authorized Official Telephone | 5135589015 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0053 | OH | Ambulatory Health Care Facilities |
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0053 | OH | Ambulatory Health Care Facilities |
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
0053 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MC-07-04 | 05 | |
| OH | CARF ACCREDITATION | 41177 | 01 |
| Street Address |
2100 PLEASANT AVE |
| City | HAMILTON |
| State | OH |
| Zip Code | 45015-1133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508423807 | Jerome Dace | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2019-05-22 |
| 1720570948 | Madesyn Devivo | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015 | 2018-06-04 |
| 1013410208 | Connie Hauser | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015 | 2018-03-14 |
| 1407354640 | Lynell Kimberli Anderson | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-23 |
| 1720586951 | Bo Jacquelyn King | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-23 |
| 1255849972 | Jennifer Lynn Carrell | Counselor | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-16 |
| 1255849329 | Shanda Smith-brooks | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-11 |
| 1669989729 | Dominique Renee Wiggins | Social Worker | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-10 |
| 1467969527 | Sean Pennington | Case Manager/Care Coordinator | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2018-01-10 |
| 1033633045 | Vanessa Rene Brown | Counselor | 2100 Pleasant Ave, Hamilton, OH 45015-1133 | 2017-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164902342 | Andrew Bridges | Rehabilitation Counselor | 3101 Dixie Highway, Hamilton, OH 45015 | 2018-08-17 |
| 1689054520 | Stephanie Cornett | Day Training/Habilitation Specialist | 901 Triffin Ave, Hamilton, OH 45015 | 2015-06-05 |
| 1326457185 | Jennifer Lynn Wilson | Counselor | 3101dixie Hwy, Hamilton, OH 45015 | 2014-08-06 |
| 1346657731 | Mary Lisle | Social Worker | 3401 Dixie Hwy, Hamilton, OH 45015 | 2014-07-17 |
| 1598938656 | Eckart Wallisch | Psychologist | 2100 Plesant Avenue, Hamilton, OH 45015 | 2008-04-10 |
| 1750551669 | Joan M Neuhaus | Social Worker | 2100 Pleasant Avenue, Hamilton, OH 45015 | 2008-03-06 |
| 1104906007 | Hamilton Lindenwald Chiropractic Inc | Chiropractor | 3590 Pleasant Ave, Hamilton, OH 45015 | 2006-10-16 |
| 1578650008 | Hamilton Lindenwald Chiropractic Ctr Inc | Chiropractor | 3590 Pleasant Avenue, Hamilton, OH 45015 | 2006-10-06 |
| 1003900580 | Frederick David Hogan | Dentist | 2428 Pleasant Ave, Hamilton, OH 45015 | 2006-10-02 |
| 1548248024 | Paul P Yang | Emergency Medicine | 3570 Pleasant Ave., Hamilton, OH 45015 | 2006-01-05 |
| Find all providers in zip 45015 | ||||
| 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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| 1699251553 | Modern Psychiatry & Wellness, LLC | Clinic/Center | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2018-07-13 |
| 1346759891 | Holistic Counseling Solution | Clinic/Center | 100 Horizon Center Blvd, Hamilton, NJ 08691-1903 | 2017-09-28 |
| 1194007385 | Hamilton Medically Assisted Treatment Associates | Clinic/Center | 1799 Klockner Rd, Hamilton, NJ 08619-2760 | 2011-09-13 |
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| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
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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.