Organization Active NPI

Urban Minority Alcoholism & Drug Abuse Outreach Program

  • Public Health or Welfare Agency
  • Dayton, OH
National Provider Identifier
1376659763
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM
Practice address
1 Elizabeth PL
RT-1
Dayton, OH 45417-3445
Phone
(937) 276-2176
Fax
(937) 276-2048
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Dr. Marketa L. Robinson, PH.D, LCDCIII, OCPCNPI 1023491271
Title
Executive Director
Phone
(937) 276-2176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1 Elizabeth PL
RT-1
Dayton, OH 45417-3445

Mailing address

1 Elizabeth PL
RT-1
Dayton, OH 45417-3445
Phone (937) 276-2176

Other names 1

  • UMADAOP Other name

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D2126703Urban Minority Alcoholism and1 Elizabeth PL, Ste RT-1, Dayton, OH 45417Certificate of waiverMar 1, 2027

National Provider Directory

National Provider Directory
Tax ID family
Umadaop2 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

1 Elizabeth Pl
#1
Dayton, OH 45417
Phone (937) 276-2176

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1376659763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "RT-1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-276-2176",
            "fax_number": "937-276-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ELIZABETH PL",
            "address_2": "RT-1",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454173445",
            "telephone_number": "937-276-2176",
            "fax_number": "937-276-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN MINORITY ALCOHOLISM & DRUG ABUSE OUTREACH PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "MARKETA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-276-2176",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, LCDCIII, OCPC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UMADAOP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.