| Central Connection | |
|
311 Albert Sabin Way Cincinnati OH 45229-2838 | |
| (513) 558-8888 | |
| (513) 558-3100 |
| Full Name | Central Connection |
|---|---|
| Speciality | Clinic/Center |
| Location | 311 Albert Sabin Way, Cincinnati, Ohio |
| Authorized Official Name and Position | Kimberly Mages (PRESIDENT AND CEO) |
| Authorized Official Contact | 5135589006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Connection 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-8888 | Central Connection 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-8888 |
| NPI Number | 1881607471 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 07/25/2024 |
| Certification Date | 07/25/2024 |
| Medicare PECOS PAC ID | 8123396520 |
|---|---|
| Medicare Enrollment ID | O20170607001494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881607471 | NPI | - | NPPES |
| 2452242 | Medicaid | OH | |
| 41177 | Other | OH | CARF ACCREDITATION |
| Provider Name | Sunny Y Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588852149 PECOS PAC ID: 1658591060 Enrollment ID: I20141007002520 |
| Provider Name | Marie L Tesson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598052938 PECOS PAC ID: 2365611068 Enrollment ID: I20171115001131 |
| Provider Name | Angela Michelle Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679032163 PECOS PAC ID: 2860825833 Enrollment ID: I20200824000497 |
| Provider Name | Melinda Josie Richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851815674 PECOS PAC ID: 2567811771 Enrollment ID: I20231213003276 |
| Provider Name | Elizabeth Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821330614 PECOS PAC ID: 4284074923 Enrollment ID: I20240429003237 |
| Provider Name | Amanda Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558725812 PECOS PAC ID: 9436599529 Enrollment ID: I20240507001284 |
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