| Central Community Health Board Of Hamilton County, Inc | |
|
532 Maxwell Ave Cincinnati OH 45219-2408 | |
| (513) 559-2000 | |
| (513) 559-2020 |
| Full Name | Central Community Health Board Of Hamilton County, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 532 Maxwell Ave, Cincinnati, Ohio |
| Authorized Official Name and Position | Bennett J Cooper (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5135592913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Community Health Board Of Hamilton County, Inc 532 Maxwell Ave Cincinnati OH 45219-2408 Ph: (513) 559-2000 | Central Community Health Board Of Hamilton County, Inc 532 Maxwell Ave Cincinnati OH 45219-2408 Ph: (513) 559-2000 |
| NPI Number | 1972617728 |
|---|---|
| Provider Enumeration Date | 08/18/2006 |
| Last Update Date | 02/23/2012 |
| Medicare PECOS PAC ID | 6608800792 |
|---|---|
| Medicare Enrollment ID | O20050919000509 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972617728 | NPI | - | NPPES |
| MC21-12 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 080 (Ohio) | Primary |
| Provider Name | Christopher M Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427091495 PECOS PAC ID: 7618881830 Enrollment ID: I20031113000031 |
| Provider Name | Robert B Sorscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750349163 PECOS PAC ID: 5395704506 Enrollment ID: I20041005000071 |
| Provider Name | Ann M Pappalardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265533715 PECOS PAC ID: 9436176187 Enrollment ID: I20051101000557 |
| Provider Name | Edward Georeg Shelleby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124186267 PECOS PAC ID: 7517132780 Enrollment ID: I20111216000401 |
| Provider Name | Marlene J Fannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346488921 PECOS PAC ID: 5193975449 Enrollment ID: I20121022000555 |
| Provider Name | Rose Marie Pryor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245281203 PECOS PAC ID: 4284644691 Enrollment ID: I20130214000287 |
| Provider Name | Beverly Massey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033534532 PECOS PAC ID: 9638395916 Enrollment ID: I20140722001720 |
| Provider Name | Valerie Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477613651 PECOS PAC ID: 9335281526 Enrollment ID: I20170817004273 |
| Provider Name | Navonda Blackwell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447767835 PECOS PAC ID: 1850650193 Enrollment ID: I20180112002406 |
| Provider Name | Christie N Demoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861722951 PECOS PAC ID: 4880023019 Enrollment ID: I20200408004466 |
| Provider Name | Kadori Ngirabakunzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649882200 PECOS PAC ID: 7517387285 Enrollment ID: I20201019001400 |
| Provider Name | Katherine Gail Boyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548803331 PECOS PAC ID: 1759797194 Enrollment ID: I20210309001836 |
| Provider Name | Bronwyn E Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275126369 PECOS PAC ID: 1153726369 Enrollment ID: I20210826001865 |
| Provider Name | Juanita Pettaway |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518338748 PECOS PAC ID: 2860879780 Enrollment ID: I20220516001377 |
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Lisa M Lyall Phd Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8622 Winton Rd, Suite C, Cincinnati, OH 45231 Phone: 513-521-0500 Fax: 513-521-5010 | |
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 | |
Rodney E. Vivian Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8000 5 Mile Rd, 240, Cincinnati, OH 45230 Phone: 513-232-3070 Fax: 513-232-5794 | |
Greater Cincinnati Behavioral Neuroscience Center Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5240 E Galbraith Road, Cincinnati, OH 45236 Phone: 513-745-5000 Fax: 513-791-7800 |