Darke County Mental Health Clinic, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

052 Issued in OH

Legal business name

DARKE COUNTY MENTAL HEALTH CLINIC, INC.

Practice address

3130 N County Road 25a
Suite 1000
Troy, OH 45373-1337

Phone

(937) 335-7166

Fax

(937) 339-9400

NPI assigned

Jul 23, 2010

Organization subpart

Yes

Parent organization

DARKE COUNTY MENTAL HEALTH CLINIC, INCAs reported in NPPES

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

Authorized official

Name

Mr. Ronald W Monroe

Title

Treasurer

Phone

(937) 548-1635

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Darke County Mental Hea2 organizations share this tax ID, including this one

Part of

Darke County Mental Hea

Other organizations with this tax ID 1

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

• Darke County Mental Health Clinic

  • Community/Behavioral Health Agency
  • Greenville, OH
  • NPI 1417157744
  NPD tax ID

Locations

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

{
    "created_epoch": "1279843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1356654941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "address_2": "212 E. MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453310895",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N COUNTY ROAD 25A",
            "address_2": "SUITE 1000",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-335-7166",
            "fax_number": "937-339-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARKE COUNTY MENTAL HEALTH CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DARKE COUNTY MENTAL HEALTH CLINIC, INC",
        "enumeration_date": "2010-07-23",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "MONROE",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "937-548-1635",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Ann Cyphers, FNP
• Angela Dalton, CNP
• Janet Dalton
• Dan S Bailey
• Kara Daniel, M.S. CCC-SLP
• Lori A Darrah, CNP
• Morgan Michelle Darst
• Heather Davey, MA, CCC/SLP
• Linda Davidson, RN-CNP
• Carolyn J. Davis, OD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Troy, OH
• Providers in Troy, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; 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.