The Mustard Seed Foundation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

THE MUSTARD SEED FOUNDATION

Practice address

4880 Denlinger Rd
Trotwood, OH 45426-2012

Phone

(937) 603-6643

NPI assigned

Apr 1, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Shondale Nicole Atkinson

Title

Ceo

Phone

(937) 603-6643

Specialties & licenses 4

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Providian

  • Public Health or Welfare Agency
  • Moraine, OH
  • NPI 1750517793
  NPPES parent name

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1316365927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4880 DENLINGER RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262012",
            "telephone_number": "937-603-6643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4880 DENLINGER RD",
            "city": "TROTWOOD",
            "state": "OH",
            "postal_code": "454262012",
            "telephone_number": "937-603-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MUSTARD SEED FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-01",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "SHONDALE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "937-603-6643",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Katana L Thompson-Brooks, R.N
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• Mental Illness Community Based Residential Treatment Facility in Trotwood, OH
• Providers in Trotwood, OH by specialty
• Mental Illness Community Based Residential Treatment Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; 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.