Active NPI
CSW Behavioral Health LLC
- Psychiatry Physician
- Dayton, OH
National Provider Identifier
1285985937
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- CSW BEHAVIORAL HEALTH LLC
- Practice address
- 1320 Woodman Dr
Dayton, OH 45432-3497 - Phone
- (937) 751-6639
- Fax
- (937) 424-0279
- NPI assigned
- Sep 20, 2012
- Last updated
- Sep 20, 2012
- 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
- Tanya Gard
- Title
- Designated Agent
- Phone
- (937) 751-6639
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
1320 Woodman Dr
Dayton, OH 45432-3497
Mailing address
1320 Woodman Dr
Dayton, OH 45432-3497
Phone (937) 751-6639
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1348099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348099200000",
"number": "1285985937",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323497",
"telephone_number": "937-751-6639",
"fax_number": "937-424-0279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 WOODMAN DR",
"city": "DAYTON",
"state": "OH",
"postal_code": "454323497",
"telephone_number": "937-751-6639",
"fax_number": "937-424-0279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CSW BEHAVIORAL HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-20",
"last_updated": "2012-09-20",
"status": "A",
"authorized_official_last_name": "GARD",
"authorized_official_first_name": "TANYA",
"authorized_official_title_or_position": "DESIGNATED AGENT",
"authorized_official_telephone_number": "937-751-6639"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
- Gregory A Cruz
- Molly Cruz
- Nicole Natasha Cruz, MD
- Whitney J Crye, D.O.
- CS Pacs 3 Midwest LLC
- CT Ohio Dayton-Centerville LLC (Centerville Health and Rehab)
- CT Ohio Dayton-Centerville LLC (Centerville Place Assisted Living)
- Scarlett J Ctvrtnicek, PA-C
- Carolina Milagros Cuba-Gutierrez, MD
- Ariana Grace Cucci, DO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.