Active NPI
Woodland Centers, Inc.
- Community/Behavioral Health Agency
- Gallipolis, OH
National Provider Identifier
1669732814
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- WOODLAND CENTERS, INC.
- Practice address
- 3086 State Route 160
Gallipolis, OH 45631-8409 - Phone
- (740) 446-5500
- Fax
- (740) 441-4402
- NPI assigned
- May 22, 2012
- Last updated
- May 22, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mary Jo Frank, PH.D.
- Title
- Executive Director
- Phone
- (740) 446-5500
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
3086 State Route 160
Gallipolis, OH 45631-8409
Mailing address
3086 State Route 160
Gallipolis, OH 45631-8409
Phone (740) 446-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0253701 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3086 State Route 160
Gallipolis, OH 45631
Phone (740) 446-5500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1337644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1337644800000",
"number": "1669732814",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3086 STATE ROUTE 160",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318409",
"telephone_number": "740-446-5500",
"fax_number": "740-441-4402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3086 STATE ROUTE 160",
"city": "GALLIPOLIS",
"state": "OH",
"postal_code": "456318409",
"telephone_number": "740-446-5500",
"fax_number": "740-441-4402"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOODLAND CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-22",
"last_updated": "2012-05-22",
"status": "A",
"authorized_official_last_name": "FRANK",
"authorized_official_first_name": "MARY JO",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "740-446-5500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0253701",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gallipolis, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.