Pickaway County Board of MRDD

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

PICKAWAY COUNTY BOARD OF MRDD

Practice address

200 E High St
Circleville, OH 43113-1724

Phone

(740) 248-8579

NPI assigned

Mar 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jeremy Joyce

Title

Medicaid Manager

Phone

(740) 248-8579

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Brooks-Yates Center Other name

Tax ID family

Pickaway Conty Health D2 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.

• Pickaway County Auditor

  dba Pickaway County General Health District

  • Public Health or Welfare Agency
  • Circleville, OH
  • NPI 1447399118
  NPD tax ID

Locations

Practitioners 2

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

• Dawn Renee Ingram

  • Registered Nurse
  • Circleville, OH
  • NPI 1215505805
  NPD
• Brianna Laura Nolte

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Circleville, OH
  • NPI 1326753641
  NPD

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726617600000",
    "number": "1396873592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E HIGH ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131724",
            "telephone_number": "740-477-3353",
            "fax_number": "740-477-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E HIGH ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431131724",
            "telephone_number": "740-248-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICKAWAY COUNTY BOARD OF MRDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A",
        "authorized_official_last_name": "JOYCE",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "MEDICAID MANAGER",
        "authorized_official_telephone_number": "740-248-8579",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0801990",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brooks-Yates Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Susan Diane Picciano, CNP
• Pickaway Anesthesia Services, Inc.
• Pickaway Area Recovery Services
• Pickaway Area Recovery Services
• Pickaway County Auditor (Pickaway County General Health District)
• Pickaway County Commission on Aging
• Pickaway County Community Action Org; Inc.
• Pickaway County Educational Service Center
• Pickaway Dialysis Center LLC
• Pickaway Health Sergvices

• Case Management Agency in Circleville, OH
• Providers in Circleville, OH by specialty
• Case Management Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; 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.