Organization Active NPI

Womanline of Dayton, Inc

  • Community/Behavioral Health Agency
  • Dayton, OH
National Provider Identifier
1750528550
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
636 Issued in OH
Legal business name
WOMANLINE OF DAYTON, INC
Practice address
301 E 6TH St
Dayton, OH 45402-2838
Phone
(937) 223-3446
Fax
(937) 223-2384
NPI assigned
Jan 15, 2009
Last updated
Jan 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Mr. John Thomas O'Bryan
Title
President/Executive Director
Phone
(937) 223-3446

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 636 OH Primary

Addresses

Primary practice location

301 E 6TH St
Dayton, OH 45402-2838

Mailing address

301 E 6TH St
Dayton, OH 45402-2838
Phone (937) 223-3446

Other identifiers 2

IdentifierTypeStateIssuer
433427OtherOHMANAGED HEALTH NETWORK, INC.
MC34-3300OtherOKALCOHOL DRUG ADDICTION MENTAL HEALTH SERVICES BOARD OF MONTGOMERY COUNTY

National Provider Directory

National Provider Directory

Locations

4617 Presidential Way
Kettering, OH 45429
Phone (937) 223-3446

Practitioners & affiliated clinicians

Practitioners 6

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": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1750528550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 E 6TH ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022838",
            "telephone_number": "937-223-3446",
            "fax_number": "937-223-2384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E 6TH ST",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454022838",
            "telephone_number": "937-223-3446",
            "fax_number": "937-223-2384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOMANLINE OF DAYTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "O'BRYAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-223-3446",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH NETWORK, INC.",
            "identifier": "433427",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALCOHOL DRUG ADDICTION MENTAL HEALTH SERVICES BOARD OF MONTGOMERY COUNTY",
            "identifier": "MC34-3300",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.