Male Behavioral Health

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MALE BEHAVIORAL HEALTH

Practice address

1298 Crystal Tree CT
Blacklick, OH 43004-8247

Phone

(614) 454-1039

NPI assigned

Apr 8, 2019

Organization subpart

No

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

Authorized official

Name

Mr. Jewel Woods Jr., LISW

Title

Executive Director

Phone

(216) 224-5472

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1306309232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 CRYSTAL TREE CT",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048247",
            "telephone_number": "216-224-5472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 CRYSTAL TREE CT",
            "city": "BLACKLICK",
            "state": "OH",
            "postal_code": "430048247",
            "telephone_number": "614-454-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "JEWEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-224-5472",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David P. Lynch, D.O.
• Keisha Larone Mack, LPN
• Kristina Maddox
• Tifani Huruma Madrona
• Rhonda Major Mack
• Ellen Maley
• Aleksandra Mann, LPN
• Chioniso Mareya
• Laree Addison Marshall
• Jayde Martin

• Community/Behavioral Health Agency in Blacklick, OH
• Providers in Blacklick, 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 Jul 2, 2019; 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.