Individual provider Active NPI

Erica Clide

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cincinnati, OH
National Provider Identifier
1467201699
Registry record updated May 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Practice address
4140 Mount Carmel Tobasco Rd Apt 6F
Cincinnati, OH 45255-3434
Phone
(513) 629-0198
NPI assigned
May 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

4140 Mount Carmel Tobasco Rd Apt 6F
Cincinnati, OH 45255-3434

Mailing address

4140 Mount Carmel Tobasco Rd Apt 6F
Cincinnati, OH 45255-3434
Phone (513) 629-0198

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

NPI Registry JSON

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1467201699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 MOUNT CARMEL TOBASCO RD APT 6F",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553434",
            "telephone_number": "513-629-0198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 MOUNT CARMEL TOBASCO RD APT 6F",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553434",
            "telephone_number": "513-629-0198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLIDE",
        "first_name": "ERICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.