Ricardo L. Lewis

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

101016 Issued in OH

Legal business name

RICARDO L. LEWIS

Practice address

168 W 2ND St
Xenia, OH 45385-3526

Phone

(937) 416-4477

NPI assigned

May 9, 2016

Last updated

May 9, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ricardo Lamont Lewis

Title

Licdc

Phone

(937) 416-4477

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1462752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462752000000",
    "number": "1730535733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853526",
            "telephone_number": "937-416-4477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 W 2ND ST",
            "city": "XENIA",
            "state": "OH",
            "postal_code": "453853526",
            "telephone_number": "937-416-4477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICARDO L. LEWIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-09",
        "last_updated": "2016-05-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "LICDC",
        "authorized_official_telephone_number": "937-416-4477",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "101016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; 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.