NPIMap

Organization Active NPI

Akron Community Development Association Inc

Doing business as Minority Behavioral Health Group

  • Community/Behavioral Health Agency
  • Akron, OH
National Provider Identifier
1699037531
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0661 Issued in OH
Legal business name
AKRON COMMUNITY DEVELOPMENT ASSOCIATION INC
Doing business as
Minority Behavioral Health Group
Northeast Columbus Addiction Treatment Center
Practice address
1293 Copley Rd
Akron, OH 44320-2766
Phone
(330) 374-1199
Fax
(330) 374-0151
NPI assigned
Jun 15, 2012
Last updated
Aug 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Authorized official

Name
Mr. Jeffrey A. Dennis
Title
Chief Operating Officer
Phone
(330) 374-1199

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0661 OH Primary
Substance Abuse Rehabilitation Facility 324500000X

Addresses

Primary practice location

1293 Copley Rd
Akron, OH 44320-2766

Mailing address

1293 Copley Rd
Akron, OH 44320-2766
Phone (330) 374-1199

Other practice location 1

5460 Cleveland Ave
Columbus, OH 43231-4005
Phone (330) 374-1199

Other names 3

  • Minority Behavioral Health Group Doing business as
  • NORTHEAST COLUMBUS ADDICTION TREATMENT CENTER Doing business as
  • Akron Community Development Association Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230111000587 OH Part B Supplier - Clinic/Group Practice 4688044571 Receives reassigned benefits from 4 practitioners
Practice locations: Akron, OH

National Provider Directory

National Provider Directory
Tax ID family
Akron Community Development Assn4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1699037531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1293 COPLEY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202766",
            "telephone_number": "330-374-1199",
            "fax_number": "330-374-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1293 COPLEY RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202766",
            "telephone_number": "330-374-1199",
            "fax_number": "330-374-0151"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5460 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432314005",
            "country_code": "US",
            "telephone_number": "330-374-1199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AKRON COMMUNITY DEVELOPMENT ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-15",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "330-374-1199",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "0661",
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minority Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minority Behavioral Health Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NORTHEAST COLUMBUS ADDICTION TREATMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Akron Community Development Association Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 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.