Active NPI
Robert Cerniglia, CCDCI
- Addiction (Substance Use Disorder) Counselor
- Defiance, OH
National Provider Identifier
1376709188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 511 Perry St
Defiance, OH 43512-2123 - Phone
- (419) 782-9920
- Fax
- (419) 784-2523
- NPI assigned
- Jul 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
511 Perry St
Defiance, OH 43512-2123
Mailing address
511 Perry St
Defiance, OH 43512-2123
Phone (419) 782-9920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Services of Northwest Ohio, Inc | Past | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/rsnwo/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Defiance, OH
- NPI 1720046451
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217462400000",
"number": "1376709188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "511 PERRY ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435122123",
"telephone_number": "419-782-9920",
"fax_number": "419-784-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 PERRY ST",
"city": "DEFIANCE",
"state": "OH",
"postal_code": "435122123",
"telephone_number": "419-782-9920",
"fax_number": "419-784-2523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERNIGLIA",
"first_name": "ROBERT",
"credential": "CCDCI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-31",
"last_updated": "2008-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Defiance, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.