Notably Gifted Arts Academy Inc

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

NOTABLY GIFTED ARTS ACADEMY INC

Practice address

2800 E River Rd
Moraine, OH 45439-1538

Phone

(937) 985-3703

NPI assigned

Aug 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Kennerson

Title

Director

Phone

(937) 985-3703

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Danesa Danielle Harbison, LSW

  • Social Worker
  • Moraine, OH
  • NPI 1588338669
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690848000000",
    "number": "1043992993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E RIVER RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391538",
            "telephone_number": "937-985-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E RIVER RD",
            "city": "MORAINE",
            "state": "OH",
            "postal_code": "454391538",
            "telephone_number": "937-985-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOTABLY GIFTED ARTS ACADEMY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A",
        "authorized_official_last_name": "KENNERSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "937-985-3703"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley S Neyhouse
• Justin Todd Nicol, CDCA, SWT
• Teona Noble
• Kasey Alexandria Noel
• Jordan North, M.ED, CT
• Notably Gifted Health and Wellness
• Rachelle Noval
• Michael Matthew Novellino, LAT, ATC, CEAS III
• Rebecca Ann O'Hara, RN
• Phoenix O'Neil

• Adolescent and Children Mental Health Clinic/Center in Moraine, OH
• Providers in Moraine, OH by specialty
• Adolescent and Children Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.