NPIMap

Organization Active NPI

New Destiny Treatment Center, Inc.

  • Adult Mental Health Clinic/Center
  • Clinton, OH
National Provider Identifier
1376161091
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
NEW DESTINY TREATMENT CENTER, INC.
Practice address
6694 Taylor Rd
Clinton, OH 44216-9201
Phone
(330) 825-5202
Fax
(330) 825-5113
NPI assigned
Jul 9, 2020
Last updated
Jan 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Robert W. Bolois, PH.D.NPI 1447785068
Title
Ceo
Phone
(330) 825-5202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

6694 Taylor Rd
Clinton, OH 44216-9201

Mailing address

6694 Taylor Rd
Clinton, OH 44216-9201
Phone (330) 825-5202

National Provider Directory

National Provider Directory
Tax ID family
New Destiny Treatment Center Mental Health and Special Services LLC3 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1376161091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6694 TAYLOR RD",
            "city": "CLINTON",
            "state": "OH",
            "postal_code": "442169201",
            "telephone_number": "330-825-5202",
            "fax_number": "330-825-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6694 TAYLOR RD",
            "city": "CLINTON",
            "state": "OH",
            "postal_code": "442169201",
            "telephone_number": "330-825-5202",
            "fax_number": "330-825-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW DESTINY TREATMENT CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "BOLOIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-825-5202",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.