Organization Active NPI

TS & Jr Haven Behavioral Health Agency LLP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
National Provider Identifier
1407773997
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TS & JR HAVEN BEHAVIORAL HEALTH AGENCY LLP
Practice address
4626 Palomar Ave
Dayton, OH 45426-1943
Phone
(937) 270-5452
NPI assigned
Jul 4, 2026
Last updated
Jul 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Mrs. Shirleta Tiffany Rutledge
Title
Executive Administrator
Phone
(937) 270-5452

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4626 Palomar Ave
Dayton, OH 45426-1943

Mailing address

8139 Old Troy Pike Ste 1022
Huber Heights, OH 45424-1067
Phone (937) 270-5452

National Provider Directory

National Provider Directory

Locations

8139 Old Troy Pike
Huber Heights, OH 45424
Phone (850) 889-2880

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": "1783123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1407773997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8139 OLD TROY PIKE STE 1022",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454241067",
            "telephone_number": "937-270-5452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 PALOMAR AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454261943",
            "telephone_number": "937-270-5452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TS & JR HAVEN BEHAVIORAL HEALTH AGENCY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-04",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "RUTLEDGE",
        "authorized_official_first_name": "SHIRLETA",
        "authorized_official_middle_name": "TIFFANY",
        "authorized_official_title_or_position": "EXECUTIVE ADMINISTRATOR",
        "authorized_official_telephone_number": "937-270-5452",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 2026; 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.