NPIMap

Organization Active NPI

State of Ohio Department of Mental Health

Doing business as HB - Summit Without Walls CSN

  • Case Management Agency
  • Cuyahoga Falls, OH
National Provider Identifier
1184693269
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STATE OF OHIO DEPARTMENT OF MENTAL HEALTH
Doing business as
HB - Summit Without Walls CSN
Practice address
2321 Second St
Suite 102
Cuyahoga Falls, OH 44221-2520
Phone
(330) 833-3135
Fax
(330) 833-9216
NPI assigned
Mar 14, 2006
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Ms. Tonya Marie Fasone
Title
Fiscal Manager
Phone
(614) 466-9930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X OH Primary

Addresses

Primary practice location

2321 Second St
Suite 102
Cuyahoga Falls, OH 44221-2520

Mailing address

30 E. Broad St
11TH Floor - Fiscal Administration
Columbus, OH 43215-3430
Phone (614) 466-6583

Other identifiers 1

IdentifierTypeStateIssuer
10386OtherOHMACSIS

Other names 1

  • HB - Summit Without Walls CSN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Pyschiatri39 organizations share this tax ID, including this one

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1184693269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E. BROAD ST",
            "address_2": "11TH FLOOR - FISCAL ADMINISTRATION",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432153430",
            "telephone_number": "614-466-6583",
            "fax_number": "614-644-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 SECOND ST",
            "address_2": "SUITE 102",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442212520",
            "telephone_number": "330-833-3135",
            "fax_number": "330-833-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OHIO DEPARTMENT OF MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FASONE",
        "authorized_official_first_name": "TONYA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "FISCAL MANAGER",
        "authorized_official_telephone_number": "614-466-9930",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MACSIS",
            "identifier": "10386",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HB - Summit Without Walls CSN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.