The Agoraphobia Foundation

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE AGORAPHOBIA FOUNDATION

Doing business as

The Agoraphobia Foundation

Practice address

5355 Lees Crossing Dr Apt 12
Cincinnati, OH 45239-7622

Phone

(513) 417-1071

NPI assigned

Oct 26, 2023

Organization subpart

No

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

Authorized official

Name

Sydney Elizabeth Massengale

Title

Founder

Phone

(151) 341-7107

Specialties & licenses 1

Addresses

Other names 1

• The Agoraphobia Foundation Doing business as

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1053183707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 LEES CROSSING DR APT 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397622",
            "telephone_number": "513-417-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 LEES CROSSING DR APT 12",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452397622",
            "telephone_number": "513-417-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE AGORAPHOBIA FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "MASSENGALE",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "151-341-7107"
    },
    "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": "The Agoraphobia Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.