Oh Sprout MC 1 LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

OH SPROUT MC 1 LLC

Doing business as

Elemy
Sprout Therapy

Practice address

300 E Business Way Ste 200
Cincinnati, OH 45241-2389

Phone

(626) 699-0236

Fax

(929) 384-7193

NPI assigned

Apr 10, 2020

Organization subpart

No

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

Authorized official

Name

Yury Yakubchyk Sr.

Title

Owner

Phone

(513) 854-4642

Specialties & licenses 1

Addresses

Other names 2

• Elemy Doing business as
• Sprout Therapy Doing business as

Locations

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1720607674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 BLUE LAGOON DR STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331266040",
            "telephone_number": "626-699-0236",
            "fax_number": "929-384-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E BUSINESS WAY STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452412389",
            "telephone_number": "626-699-0236",
            "fax_number": "929-384-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OH SPROUT MC 1 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-10",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "YAKUBCHYK",
        "authorized_official_first_name": "YURY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-854-4642",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elemy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sprout Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sprout Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sierra Leeann Oglivie
• Heather L Ogren, CSW,MSW,LSW
• Cristina Ogrin, MD
• Oladele Olaniyi Ogundiran
• Princess Ihuoma Ogundu, MD
• David Oh, MD
• Sanders Oh, MD, PHD
• Angela Ohara
• Scott E Ohara Sr.
• Ohch LLC

• Behavior Analyst in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Behavior Analyst in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.