NPIMap

Organization Active NPI

Mansfield Umadaop, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, OH
National Provider Identifier
1326070160
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
MANSFIELD UMADAOP, INC.
Practice address
400 Bowman St
Mansfield, OH 44903-1235
Phone
(419) 525-3535
Fax
(419) 525-3538
NPI assigned
Jul 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Geron Tate, ICDC/OCPSII
Title
President/Ceo
Phone
(419) 525-3531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X OH Primary

Addresses

Primary practice location

400 Bowman St
Mansfield, OH 44903-1235

Mailing address

400 Bowman St
P.O. Box 1316
Mansfield, OH 44903-1235
Phone (419) 525-3535

National Provider Directory

National Provider Directory
Tax ID family
Mansfield Umadaop Inc3 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.

Locations

400 Bowman St
Mansfield, OH 44903
Phone (419) 525-3525

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326070160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BOWMAN ST",
            "address_2": "P.O. BOX 1316",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031235",
            "telephone_number": "419-525-3535",
            "fax_number": "419-525-3538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOWMAN ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449031235",
            "telephone_number": "419-525-3535",
            "fax_number": "419-525-3538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANSFIELD UMADAOP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TATE",
        "authorized_official_first_name": "GERON",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "419-525-3531",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ICDC/OCPSII"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.