Greater Cincinnati Behavioral Health Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

410189 Issued in OH

Legal business name

GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES

Practice address

1501 Madison Rd
Walnut Hills, OH 45206-1706

Phone

(513) 354-7000

Fax

(513) 354-7115

NPI assigned

May 5, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Dawne Bretnitz, CRMS

Title

Billing Manager

Phone

(513) 354-7012

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Greater Cincinnati Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Walnut Hills, OH
  • NPI 1588626097

  O20031208000060

  Same enrollment
• Greater Cincinnati Behavioral Health Services

  • Community/Behavioral Health Agency
  • Walnut Hills, OH
  • NPI 1720251788

  O20031208000060

  Same enrollment
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Cincinnati, OH
  • NPI 1871486183

  O20031208000060

  Same enrollment
• Greater Cincinnati Behavioral Health Services

  • Family Medicine Physician
  • Amelia, OH
  • NPI 1942193263

  O20031208000060

  Same enrollment

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/gcbhs/r4/

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

{
    "created_epoch": "1399248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399248000000",
    "number": "1427468065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-7000",
            "fax_number": "513-354-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MADISON RD",
            "city": "WALNUT HILLS",
            "state": "OH",
            "postal_code": "452061706",
            "telephone_number": "513-354-7000",
            "fax_number": "513-354-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER CINCINNATI BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-05",
        "last_updated": "2014-05-05",
        "status": "A",
        "authorized_official_last_name": "BRETNITZ",
        "authorized_official_first_name": "DAWNE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "513-354-7012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CRMS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "410189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0241045",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473943",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Goeller, LSW
• Sonya Goggin, SWT
• Carla Denise Goines, LPN
• Surya Gollapudi, QMHS
• Jaclyn L Gorrasi
• Greater Cincinnati Behavioral Health Services
• Greater Cincinnati Behavioral Health Services
• Greater Cincinnati Behavioral Health Services
• Greater Cincinnnati Behavioral Health Services
• Lashae Green

• Mental Health Clinic/Center (Including Community Mental Health Center) in Walnut Hills, OH
• Providers in Walnut Hills, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.