NPIMap

Organization Active NPI

Wright State University

Doing business as Consumer Advocacy Model

  • Case Management Agency
  • Dayton, OH
National Provider Identifier
1245597988
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
0464 Issued in OH
Legal business name
WRIGHT STATE UNIVERSITY
Doing business as
Consumer Advocacy Model
Practice address
6 S Patterson Blvd
Dayton, OH 45402-2111
Phone
(937) 222-2400
Fax
(937) 222-7522
NPI assigned
Apr 19, 2012
Last updated
Apr 19, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
WRIGHT STATE UNIVERSITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Ms. Kristen Kay Dunn, MRC, PCC, LICDC
Title
Program Director
Phone
(937) 222-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 0464 OH Primary

Addresses

Primary practice location

6 S Patterson Blvd
Dayton, OH 45402-2111

Mailing address

6 S Patterson Blvd
Dayton, OH 45402-2111
Phone (937) 222-2400

Other identifiers 1

IdentifierTypeStateIssuer
MC342800MedicaidOH

Other names 1

  • CONSUMER ADVOCACY MODEL Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Wright State University Student Health Services6 organizations share this tax ID, including this one
Part of
Wright State University Student Health Services

Other organizations with this tax ID 5

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

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1334793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1245597988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022111",
            "telephone_number": "937-222-2400",
            "fax_number": "937-222-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 S PATTERSON BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022111",
            "telephone_number": "937-222-2400",
            "fax_number": "937-222-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WRIGHT STATE UNIVERSITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WRIGHT STATE UNIVERSITY",
        "enumeration_date": "2012-04-19",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "937-222-2400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MRC, PCC, LICDC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC342800",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CONSUMER ADVOCACY MODEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Apr 19, 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.