Organization Active NPI

Ats Behavioral Health Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
National Provider Identifier
1215919527
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
11218 Issued in OH
Legal business name
ATS BEHAVIORAL HEALTH INC
Practice address
1320 Woodman Dr
Ste 100
Dayton, OH 45432-3497
Phone
(937) 424-8816
Fax
(937) 424-8656
NPI assigned
Nov 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jeffrey Frank Kolaczkowski, MSW LISW LCSWNPI 1821070137
Title
Executive Director
Phone
(937) 223-1781

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
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 11218 OH Primary

Addresses

Primary practice location

1320 Woodman Dr
Ste 100
Dayton, OH 45432-3497

Mailing address

1320 Woodman Dr
Ste 100
Dayton, OH 45432-3497
Phone (937) 424-8816

National Provider Directory

National Provider Directory

Locations

1320 Woodman Dr
Ste 100
Dayton, OH 45432
Phone (937) 252-9967

Practitioners & affiliated clinicians

Practitioners 1

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": "1131926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215919527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323497",
            "telephone_number": "937-424-8816",
            "fax_number": "937-424-8656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454323497",
            "telephone_number": "937-424-8816",
            "fax_number": "937-424-8656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATS BEHAVIORAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOLACZKOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-223-1781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LISW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "OH",
            "license": "11218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • 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.