Pegge Sines

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

04-2260 Issued in OH

Practice address

233 E Morrison St
Edgerton, OH 43517-9302

Phone

(419) 298-3377

NPI assigned

Feb 24, 2014

Last updated

Feb 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dream Haven LLC

  • Adult Mental Health Clinic/Center
  • Edgerton, OH
  • NPI 1710302971
  NPD (past) Authorized official

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

{
    "created_epoch": "1393200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393286400000",
    "number": "1366867681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 E MORRISON ST",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435179302",
            "telephone_number": "419-298-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 E MORRISON ST",
            "city": "EDGERTON",
            "state": "OH",
            "postal_code": "435179302",
            "telephone_number": "419-298-3377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINES",
        "first_name": "PEGGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-24",
        "last_updated": "2014-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "04-2260",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADULT CARE FACILITIY",
            "identifier": "04-2260",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Park View Operating Company LLC
• Peregrine Health Services of Edgerton,LLC (Park View Nursing Center)
• PGN Op Park LLC (Park View Nursing Center)
• Belinda Sue Robertson, RPH
• Roger Edwin Schlade, D.C.
• Jeffrey Thomas Snyder, M.S. ATC
• Emily Rebecca Woodbury, BSN, RN

• Adult Mental Health Clinic/Center in Edgerton, OH
• Providers in Edgerton, OH by specialty
• Adult Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2014; 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.