Central Clinic Outpatient Services | |
311 Albert Sabin Way Cincinnati OH 45229-2838 | |
(513) 558-9005 | |
(513) 558-3880 |
Full Name | Central Clinic Outpatient Services |
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Speciality | Counselor |
Location | 311 Albert Sabin Way, Cincinnati, Ohio |
Authorized Official Name and Position | Kimberly G Mages (CEO/PRESIDENT) |
Authorized Official Contact | 5135585879 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Central Clinic Outpatient Services 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-9005 | Central Clinic Outpatient Services 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-9005 |
NPI Number | 1326589722 |
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Provider Enumeration Date | 03/17/2017 |
Last Update Date | 02/22/2024 |
Certification Date | 02/22/2024 |
Medicare PECOS PAC ID | 3870860380 |
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Medicare Enrollment ID | O20170602002131 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326589722 | NPI | - | NPPES |
0216229 | Medicaid | OH |
Provider Name | Eleanor Mcbeth Maley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508931296 PECOS PAC ID: 5395646426 Enrollment ID: I20040120000755 |
Provider Name | Robert B Sorscher |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1750349163 PECOS PAC ID: 5395704506 Enrollment ID: I20041005000071 |
Provider Name | Helena Rura |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114003167 PECOS PAC ID: 3072547231 Enrollment ID: I20050927000267 |
Provider Name | Peirce Wood Johnston |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1578752226 PECOS PAC ID: 7416134960 Enrollment ID: I20110609000180 |
Provider Name | Robert T Perkins |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073937181 PECOS PAC ID: 9739450503 Enrollment ID: I20170814000407 |
Provider Name | Pamela Brown-anderson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174984710 PECOS PAC ID: 7214203843 Enrollment ID: I20171025002544 |
Provider Name | Charles Handel |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1962543744 PECOS PAC ID: 8224394051 Enrollment ID: I20171113000412 |
Provider Name | Nelly Rimini |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1073635223 PECOS PAC ID: 6305104571 Enrollment ID: I20171215001364 |
Provider Name | Karen Carlisle |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518416601 PECOS PAC ID: 6002174646 Enrollment ID: I20180103000830 |
Provider Name | Janice D Bishop |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1871043547 PECOS PAC ID: 1456619097 Enrollment ID: I20180103000846 |
Provider Name | Angela D Ledgerwood |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1689898132 PECOS PAC ID: 6305104969 Enrollment ID: I20180103001928 |
Provider Name | Adriana Yodfat Glazer |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1043701600 PECOS PAC ID: 9931556081 Enrollment ID: I20231110000400 |
Provider Name | Alejandra Serrano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1487145280 PECOS PAC ID: 6103274568 Enrollment ID: I20231122002560 |
Provider Name | Bryan B Manderfield |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1356705867 PECOS PAC ID: 8729439724 Enrollment ID: I20240103003583 |
Provider Name | Kimberly Garwood Mages |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1275996001 PECOS PAC ID: 4587015425 Enrollment ID: I20240104004077 |
Provider Name | Maria Piombo |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1225161219 PECOS PAC ID: 5395196877 Enrollment ID: I20240109002651 |
Provider Name | Robert Weghorst |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1598263998 PECOS PAC ID: 7416309950 Enrollment ID: I20240119001937 |
Provider Name | Alicia Back |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1629518584 PECOS PAC ID: 9739532359 Enrollment ID: I20240131001501 |
Provider Name | Angelita Marie Cook |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083365621 PECOS PAC ID: 6901240886 Enrollment ID: I20240219003247 |
Provider Name | David E Brown |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1093177701 PECOS PAC ID: 9234579665 Enrollment ID: I20240501003332 |
Provider Name | Vanessa Rene Brown |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1033633045 PECOS PAC ID: 9234570342 Enrollment ID: I20240507002542 |
Provider Name | Heike Wilson |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1801335427 PECOS PAC ID: 4880035914 Enrollment ID: I20240507003411 |
Provider Name | Kevin Mark Denzler |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619421419 PECOS PAC ID: 5799126710 Enrollment ID: I20240508002350 |
Provider Name | Madison K Hollar |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1013484658 PECOS PAC ID: 8325489032 Enrollment ID: I20240513002441 |
Provider Name | Teresa Weisbrod |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1770718389 PECOS PAC ID: 7113369075 Enrollment ID: I20240523000327 |
Provider Name | Jasmine Parker |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1063894491 PECOS PAC ID: 8820430101 Enrollment ID: I20240531003115 |
Provider Name | Holly Danielle Krismanick |
---|---|
Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1528577905 PECOS PAC ID: 1153863774 Enrollment ID: I20240610003845 |
Provider Name | Melanie Bryan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1477042927 PECOS PAC ID: 2769924315 Enrollment ID: I20240611001156 |
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Cc-child/adult Care Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 Albert Sabin Way, Cincinnati, OH 45229 Phone: 513-558-5823 Fax: 513-558-3880 | |
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