Active NPI
Greenleaf Family Center
- Community/Behavioral Health Agency
- Akron, OH
National Provider Identifier
1255738456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 13654
- Legal business name
- GREENLEAF FAMILY CENTER
- Practice address
- 580 Grant St
Akron, OH 44311-9910 - Phone
- (330) 376-9494
- Fax
- (330) 376-4525
- NPI assigned
- Dec 3, 2014
- Last updated
- Dec 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Dawn Glenny
- Title
- President/Ceo
- Phone
- (330) 376-9494
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 01-0198 | OH | |
| Community/Behavioral Health Agency | 251S00000X | 13654 | OH | Primary |
Addresses
Primary practice location
580 Grant St
Akron, OH 44311-9910
Mailing address
580 Grant St
Akron, OH 44311-9910
Phone (330) 376-9494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098386 | Medicaid | OH | |
| H302900 | Other | OH | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
580 Grant St
Akron, OH 44311
Phone (330) 376-9494
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/greenleafctr/r4/
Practitioners & affiliated clinicians
Practitioners 85
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.
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-
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-
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- Peer Specialist
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- Prevention Professional
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1418083200000",
"number": "1255738456",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "580 GRANT ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443119910",
"telephone_number": "330-376-9494",
"fax_number": "330-376-4525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "580 GRANT ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443119910",
"telephone_number": "330-376-9494",
"fax_number": "330-376-4525"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREENLEAF FAMILY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-09",
"status": "A",
"authorized_official_last_name": "GLENNY",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "330-376-9494",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "01-0198",
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "13654",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2098386",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "H302900",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.