NPIMap

Organization Active NPI

Advanced Therapeutic Services Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dayton, OH
National Provider Identifier
1598746265
Registry record updated Mar 24, 2008
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
ADVANCED THERAPEUTIC SERVICES INC
Practice address
1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone
(937) 223-1781
Fax
(937) 853-0096
NPI assigned
Nov 9, 2005
Last updated
Mar 24, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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

Authorized official

Name
Mr. Jeffrey Frank Kolaczkowski, MSW LISW LCSWNPI 1821070137
Title
Executive Director
Phone
(937) 223-1781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1320 Woodman Dr
Ste 200
Dayton, OH 45432

Mailing address

1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 223-1781

Other identifiers 1

IdentifierTypeStateIssuer
2299196MedicaidOH

National Provider Directory

National Provider Directory

Locations

1320 Woodman Dr
Ste 200
Dayton, OH 45432
Phone (937) 223-1781

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206316800000",
    "number": "1598746265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODMAN DR",
            "address_2": "STE 200",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "45432",
            "telephone_number": "937-223-1781",
            "fax_number": "937-853-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPEUTIC SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-09",
        "last_updated": "2008-03-24",
        "status": "A",
        "authorized_official_last_name": "KOLACZKOWSKI",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-223-1781",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW LISW LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2299196",
            "state": "OH"
        }
    ],
    "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 Mar 24, 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.

Verify at the official NPI Registry.