Scioto Family and Behavioral Medicine

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SCIOTO FAMILY AND BEHAVIORAL MEDICINE

Practice address

5611 Gallia St
Portsmouth, OH 45662-5520

Phone

(740) 529-0083

NPI assigned

Jan 5, 2019

Organization subpart

No

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

Authorized official

Name

John Haastrup, MDNPI 1760660765

Title

Physician

Phone

(270) 871-7379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 2

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.

• John Haastrup, M.D.

  • Family Medicine Physician
  • Madisonville, KY
  • NPI 1760660765

  OH

  Medicare reassignment NPD Authorized official
• Edouard Joseph Tassy, PA

  • Medical Physician Assistant
  • Chillicothe, OH
  • NPI 1760442875
  Medicare reassignment

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

{
    "created_epoch": "1546646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1619440377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 MEADOW LN",
            "city": "WHEELERSBURG",
            "state": "OH",
            "postal_code": "456948870",
            "telephone_number": "270-871-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456625520",
            "telephone_number": "740-529-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCIOTO FAMILY AND BEHAVIORAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-05",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "HAASTRUP",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "270-871-7379",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scioto County Counseling Center Inc (Compass Pharmacy)
• Scioto County Counseling Center, Inc (The Counseling Center, Inc)
• Scioto County Counseling Center, Inc. (TCC Health)
• Scioto County Counseling Center, Inc. (The Counseling Center, Inc.)
• Scioto Family and Behavioral Medicine
• Scioto Foot Care Inc.
• Scioto Residential Services, Inc.
• Scioto Valley Chiropractic and Rehab Center LLC
• Scioto Valley Orthopaedics, Inc.
• Cadence Scoggins

• Medical Specialty Clinic/Center in Portsmouth, OH
• Providers in Portsmouth, OH by specialty
• Medical Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.