The Center for Individual and Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

S1200452 Issued in OH

Legal business name

THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES

Practice address

270 Sterkel Blvd
270 Sterkel Blvd
Mansfield, OH 44907-1508

Phone

(419) 756-1133

NPI assigned

Feb 1, 2013

Organization subpart

No

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

Authorized official

Name

Laura Montgomery

Title

President & Ceo

Phone

(419) 774-6884

Specialties & licenses 1

Addresses

Tax ID family

Dba the Rehab Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• The Center for Individual & Family Services, Inc.

  • Community/Behavioral Health Agency
  • Mansfield, OH
  • NPI 1174122188
  NPD tax ID
• The Center for Individual and Family Services

  • Durable Medical Equipment & Medical Supplies
  • Mansfield, OH
  • NPI 1356372593
  NPD tax ID

Locations

Practitioners 1

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

• Debra Joyce Panke, D.O.

  • Child & Adolescent Psychiatry Physician
  • Mansfield, OH
  • NPI 1548393531
  NPD (past)

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1295074821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 STERKEL BLVD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071508",
            "telephone_number": "419-756-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 STERKEL BLVD",
            "address_2": "270 STERKEL BLVD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071508",
            "telephone_number": "419-756-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR INDIVIDUAL AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "419-774-6884"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S1200452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Thacker
• Khanh H Thai, MD
• The Center for Individual & Family Services, Inc.
• The Center for Individual & Family Services, Inc.
• The Center for Individual and Family Services
• The Center for Individual and Family Services
• The Center for Individual and Family Services, Inc.
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation
• The Cleveland Clinic Foundation

• Community/Behavioral Health Agency in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.