NPIMap

Organization Active NPI

Clermont Recovery Center, Inc.

  • Public Health or Welfare Agency
  • Batavia, OH
National Provider Identifier
1366458465
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
CLERMONT RECOVERY CENTER, INC.
Practice address
1074 Wasserman Way
Batavia, OH 45103-1911
Phone
(513) 735-5510
Fax
(513) 735-8157
NPI assigned
Jul 31, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Steven M Goldsberry, LISW, LICDC
Title
President/Ceo
Phone
(513) 735-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X OH Primary

Addresses

Primary practice location

1074 Wasserman Way
Batavia, OH 45103-1911

Mailing address

1088 Wasserman Way Ste C
Batavia, OH 45103-1911
Phone (513) 735-8100

National Provider Directory

National Provider Directory
Tax ID family
Clermont Recovery Center Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

1074 Wasserman Way
Batavia, OH 45103
Phone (513) 735-5510

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366458465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 WASSERMAN WAY STE C",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031911",
            "telephone_number": "513-735-8100",
            "fax_number": "513-735-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 WASSERMAN WAY",
            "city": "BATAVIA",
            "state": "OH",
            "postal_code": "451031911",
            "telephone_number": "513-735-5510",
            "fax_number": "513-735-8157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLERMONT RECOVERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GOLDSBERRY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "513-735-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW, LICDC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batavia, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.