Addiction Campuses Professional Services of Ohio, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

ADDICTION CAMPUSES PROFESSIONAL SERVICES OF OHIO, LLC

Practice address

2650 Lodge Rd SW
Sherrodsville, OH 44675-9718

Phone

(330) 866-0916

Fax

(330) 556-4023

NPI assigned

Apr 14, 2020

Organization subpart

No

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

Authorized official

Name

Leigh Ann Thompson

Title

Senior Director

Phone

(615) 921-4447

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ruby L Holloway, M.D.

  • Obstetrics & Gynecology Physician
  • Red Oak, TX
  • NPI 1619915048
  NPD (past)

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

{
    "created_epoch": "1586822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597622400000",
    "number": "1255950739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 REIDHURST AVE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372031618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 LODGE RD SW",
            "city": "SHERRODSVILLE",
            "state": "OH",
            "postal_code": "446759718",
            "telephone_number": "330-866-0916",
            "fax_number": "330-556-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION CAMPUSES PROFESSIONAL SERVICES OF OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-14",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "615-921-4447"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addiction Campuses of Ohio LLC
• Kim Marie Class, RN
• Alayna Cooper
• Malaina Jane Fondriest
• Christina Geiser, RN
• Kimberly S Lallathin

• Addiction Medicine (Psychiatry & Neurology) Physician in Sherrodsville, OH
• Providers in Sherrodsville, OH by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.