NPIMap

Organization Active NPI

Journey Community Church

Doing business as Joshua Tree Behavioral Health Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fairview Park, OH
National Provider Identifier
1700594900
Registry record updated Jul 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
JOURNEY COMMUNITY CHURCH
Doing business as
Joshua Tree Behavioral Health Center
Practice address
21270 Lorain Rd
Fairview Park, OH 44126-2121
Phone
(330) 554-4009
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2023

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

Authorized official

Name
Mason YoderNPI 1740798081
Title
Consultant
Phone
(330) 554-4009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

21270 Lorain Rd
Fairview Park, OH 44126-2121

Mailing address

21270 Lorain Rd
Fairview Park, OH 44126-2121

Other names 1

  • Joshua Tree Behavioral Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Joshua Tree Behavioral Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

  • Journey Community Church

    dba Joshua Tree Behavioral Health Center

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Fairview Park, OH
    • NPI 1619685815
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 1

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": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688601600000",
    "number": "1700594900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21270 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21270 LORAIN RD",
            "city": "FAIRVIEW PARK",
            "state": "OH",
            "postal_code": "441262121",
            "telephone_number": "330-554-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY COMMUNITY CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A",
        "authorized_official_last_name": "YODER",
        "authorized_official_first_name": "MASON",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "330-554-4009"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joshua Tree Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joshua Tree Behavioral Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Park, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.