Oak Ridge Treatment Center Acq Corp

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

052001 Issued in OH

Legal business name

OAK RIDGE TREATMENT CENTER ACQ CORP

Practice address

115 Private Road 977 County Road 44 North
Pedro, OH 45659

Phone

(740) 534-1386

Fax

(740) 534-1497

NPI assigned

Apr 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chris Jagoditz

Title

Chief Financial Officer

Phone

(317) 524-6360

Specialties & licenses 4

Addresses

Other names 1

• Oak Ridge Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Peter Mohlman, MD

  • Child & Adolescent Psychiatry Physician
  • Indianapolis, IN
  • NPI 1194819714
  NPD (past)

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184687030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26456",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462260456",
            "telephone_number": "317-524-6360",
            "fax_number": "317-544-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PRIVATE ROAD 977 COUNTY ROAD 44 NORTH",
            "city": "PEDRO",
            "state": "OH",
            "postal_code": "45659",
            "telephone_number": "740-534-1386",
            "fax_number": "740-534-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAK RIDGE TREATMENT CENTER ACQ CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JAGODITZ",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "317-524-6360"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OH",
            "license": "052001",
            "primary": true
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OH",
            "license": "052002",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OH",
            "license": "052003",
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "OH",
            "license": "052004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Ridge",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Alexis Leigh Nelson
• Christina Lee Nelson
• Kanisha Marie Noble
• Joshua Noe
• Megan O'Neal, LPN
• Angela Marie Orsak, RN
• Brittany Patterson, RN
• Mitchell Robert Patterson
• James Paul Pennington
• Madison Paige Penwell

• Emotionally Disturbed Childrens' Residential Treatment Facility in Pedro, OH
• Providers in Pedro, OH by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.