Organization Active NPI

Solutions Behavioral Healthcare, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Medina, OH
National Provider Identifier
1083972947
Registry record updated Apr 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
1383,2169,0564,2168 Issued in OH
Legal business name
SOLUTIONS BEHAVIORAL HEALTHCARE, INC.
Practice address
246 Northland Dr
Suite 140
Medina, OH 44256-3441
Phone
(330) 723-9600
Fax
(330) 722-1446
NPI assigned
Apr 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2012

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

Authorized official

Name
Dr. Bradford Grant Williams, PHD
Title
Chief Executive Officer
Phone
(330) 723-9600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 1383,2169,0564,2168 OH Primary

Addresses

Primary practice location

246 Northland Dr
Suite 140
Medina, OH 44256-3441

Mailing address

246 Northland Dr
Suite 140
Medina, OH 44256-3441
Phone (330) 723-9600

Other identifiers 1

IdentifierTypeStateIssuer
2864057MedicaidOH

Other names 1

  • Alcohol & Drug Dependency Services of Medina County, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

246 Northland Dr
Ste 140
Medina, OH 44256
Phone (330) 723-9600

NPI Registry JSON

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335744000000",
    "number": "1083972947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 140",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-723-9600",
            "fax_number": "330-722-1446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 NORTHLAND DR",
            "address_2": "SUITE 140",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442563441",
            "telephone_number": "330-723-9600",
            "fax_number": "330-722-1446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS BEHAVIORAL HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADFORD",
        "authorized_official_middle_name": "GRANT",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "330-723-9600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "1383,2169,0564,2168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2864057",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol & Drug Dependency Services of Medina County, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Medina, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.