The Buckeye Ranch

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

RN.142283-NP Issued in OH

Legal business name

THE BUCKEYE RANCH

Doing business as

Ohio State University

Practice address

5665 Hoover Rd
Grove City, OH 43123-9122

Phone

(614) 539-6563

NPI assigned

Mar 9, 2012

Organization subpart

No

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

Authorized official

Name

Patricia Gentile, M.D.

Title

Psychiatrist

Phone

(614) 539-6563

Specialties & licenses 1

Addresses

Other names 1

• Ohio State University Doing business as

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

{
    "created_epoch": "1331251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331251200000",
    "number": "1699040691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-539-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 HOOVER RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239122",
            "telephone_number": "614-539-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BUCKEYE RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-09",
        "last_updated": "2012-03-09",
        "status": "A",
        "authorized_official_last_name": "GENTILE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "614-539-6563",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "RN.142283-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ohio State University",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prisca Rebecca Tevi-Nouvi
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• Lauren Thai, DMD, MS
• Neenah Thaymore
• The Buckeye Ranch
• The Buckeye Ranch, Inc
• The Buckeye Ranch, Inc
• The Foot & Ankle Health Center
• The Inn at Grove City, LLC
• The Inn at Grove City, LLC

• Adolescent and Children Mental Health Clinic/Center in Grove City, OH
• Providers in Grove City, OH by specialty
• Adolescent and Children Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.

Verify at the official NPI Registry.