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474 N Yellow Springs Street Springfield OH 45504-2463 | |
| (937) 399-9500 | |
| (937) 342-4242 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 474 N Yellow Springs Street, Springfield, Ohio |
| Authorized Official Name and Position | Kelly L Rigger (CEO) |
| Authorized Official Contact | 9373999500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
474 N Yellow Springs Street Springfield OH 45504-2463 Ph: (937) 399-9500 | 474 N Yellow Springs Street Springfield OH 45504-2463 Ph: (937) 399-9500 |
| NPI Number | 1982695706 |
|---|---|
| Provider Enumeration Date | 11/01/2005 |
| Last Update Date | 05/11/2021 |
| Certification Date | 05/11/2021 |
| Medicare PECOS PAC ID | 7810801032 |
|---|---|
| Medicare Enrollment ID | O20040108000709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982695706 | NPI | - | NPPES |
| 0006 | Other | OH | OHIO DEPT OF MENTAL HEALT |
| 2466602 | Medicaid | OH | |
| 9338511 | Other | OH | MEDICARE |
| Provider Name | Mark A Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164413100 PECOS PAC ID: 5193625226 Enrollment ID: I20040113000493 |
| Provider Name | Kalpana K Vishnupad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598755662 PECOS PAC ID: 5890696850 Enrollment ID: I20040114000405 |
| Provider Name | Ann K Morrison |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801886973 PECOS PAC ID: 2769377282 Enrollment ID: I20040216000338 |
| Provider Name | Fawzia Ashfaq Toor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063576056 PECOS PAC ID: 6709870272 Enrollment ID: I20040408001406 |
| Provider Name | Misti Marita Grimson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619960127 PECOS PAC ID: 5294704326 Enrollment ID: I20041108000187 |
| Provider Name | Leah M Crook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629145388 PECOS PAC ID: 1658476189 Enrollment ID: I20070411000582 |
| Provider Name | Nancy K Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114912805 PECOS PAC ID: 4688755861 Enrollment ID: I20080114000380 |
| Provider Name | Angela Pumphrey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073945697 PECOS PAC ID: 8820232267 Enrollment ID: I20130924000976 |
| Provider Name | Angelia M Mickle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790117141 PECOS PAC ID: 0840433058 Enrollment ID: I20130925000618 |
| Provider Name | Babar Hasan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649266016 PECOS PAC ID: 2860387891 Enrollment ID: I20140616001248 |
| Provider Name | Yakov V Sherk |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740449198 PECOS PAC ID: 4486942141 Enrollment ID: I20161012001233 |
| Provider Name | Diana L Padrutt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770574618 PECOS PAC ID: 2769765650 Enrollment ID: I20170220002903 |
| Provider Name | Faith Drossart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346646825 PECOS PAC ID: 7911331202 Enrollment ID: I20191219000211 |
| Provider Name | Tara L Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427527290 PECOS PAC ID: 9032544721 Enrollment ID: I20200128000839 |
| Provider Name | Kimberly M Insley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710491105 PECOS PAC ID: 7719302322 Enrollment ID: I20200729003744 |
| Provider Name | Hilda M Ngoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528724101 PECOS PAC ID: 9032509542 Enrollment ID: I20211123002946 |
| Provider Name | Sherry Dawn Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316119027 PECOS PAC ID: 6709255060 Enrollment ID: I20221207002915 |
| Provider Name | Danielle Penn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760938682 PECOS PAC ID: 0749651784 Enrollment ID: I20230130001288 |
| Provider Name | Alexis Marie Newsome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558140707 PECOS PAC ID: 8022464528 Enrollment ID: I20231019000953 |
| Provider Name | Jill R Sokolnicki |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760527626 PECOS PAC ID: 7618390006 Enrollment ID: I20240103002909 |
| Provider Name | Jamie Brooke Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518479047 PECOS PAC ID: 3274984745 Enrollment ID: I20240109002408 |
| Provider Name | Vanessa G Pence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164743100 PECOS PAC ID: 9436501327 Enrollment ID: I20240116003419 |
| Provider Name | Kayleen Stidham-klier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023009982 PECOS PAC ID: 1355794298 Enrollment ID: I20240127000289 |
| Provider Name | Donald Amos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669463469 PECOS PAC ID: 3678919263 Enrollment ID: I20240305004327 |
| Provider Name | Brenda S Pinson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669921227 PECOS PAC ID: 4880034073 Enrollment ID: I20240506000614 |
| Provider Name | Sarah Bailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255965521 PECOS PAC ID: 2961844857 Enrollment ID: I20240523001384 |
| Provider Name | Amy S Bracken |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518308360 PECOS PAC ID: 7618414723 Enrollment ID: I20240807002414 |
| Provider Name | Nicole Clem |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336779818 PECOS PAC ID: 4284165564 Enrollment ID: I20240927002468 |
| Provider Name | Demoni' Ramey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326670597 PECOS PAC ID: 0446782072 Enrollment ID: I20241021000987 |
| Provider Name | Tami Holcomb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376117911 PECOS PAC ID: 9133669435 Enrollment ID: I20241025001254 |
Mental Health Services For Clark And Madison Counties Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1345 N Fountain Blvd, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-2701 | |
Reasonable Choices, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5756 Willowdale Rd, Springfield, OH 45502 Phone: 937-933-4050 Fax: 937-323-0951 | |
H. Owen Ward, Ph.d. Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2242 Olympic St, Springfield, OH 45503 Phone: 937-390-7733 Fax: 937-390-8765 | |
Comprehensive Addiction Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2816 W 1st St, Springfield, OH 45504 Phone: 937-322-8977 Fax: 937-322-5837 | |
Hensel O. Ward Jr. Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2242 Olympic St, Springfield, OH 45503 Phone: 937-390-7773 Fax: 937-390-8765 | |
Positive Perspectives, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4949 Urbana Rd, Suite 201, Springfield, OH 45502 Phone: 937-390-3800 Fax: 937-390-3804 |