Organization Active NPI

Phoenix Place

Doing business as Hope Community Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Amelia, OH
National Provider Identifier
1053128439
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
PHOENIX PLACE
Doing business as
Hope Community Center
Practice address
4 Cecelia Dr
Amelia, OH 45102-1906
Phone
(513) 752-6170
NPI assigned
Dec 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Authorized official

Name
Zoe Fiscus DossNPI 1518457795
Title
Executive Director
Phone
(513) 752-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4 Cecelia Dr
Amelia, OH 45102-1906

Mailing address

4 Cecelia Dr
Amelia, OH 45102-1906

Other names 1

  • Hope Community Center Doing business as

National Provider Directory

National Provider Directory

Locations

4 Cecelia Dr
Amelia, OH 45102
Phone (513) 752-6170

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734480000000",
    "number": "1053128439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CECELIA DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CECELIA DR",
            "city": "AMELIA",
            "state": "OH",
            "postal_code": "451021906",
            "telephone_number": "513-752-6170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A",
        "authorized_official_last_name": "FISCUS DOSS",
        "authorized_official_first_name": "ZOE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-752-6170"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amelia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.