Organization Active NPI

Mental Health & Recovery Centers of Clinton County, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, OH
National Provider Identifier
1780993543
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MENTAL HEALTH & RECOVERY CENTERS OF CLINTON COUNTY, INC.
Practice address
953 S South St
Wilmington, OH 45177-2921
Phone
(937) 383-4441
Fax
(937) 383-2348
NPI assigned
Sep 28, 2010
Last updated
Sep 28, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Brad McMonigle, PCC
Title
Executive Director
Phone
(513) 228-7800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X OH Primary

Addresses

Primary practice location

953 S South St
Wilmington, OH 45177-2921

Mailing address

953 S South St
Wilmington, OH 45177-2921
Phone (937) 383-4441

Other identifiers 1

IdentifierTypeStateIssuer
2473998MedicaidOH

Other names 1

  • MHRCCC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1780993543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 S SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772921",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 S SOUTH ST",
            "city": "WILMINGTON",
            "state": "OH",
            "postal_code": "451772921",
            "telephone_number": "937-383-4441",
            "fax_number": "937-383-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH & RECOVERY CENTERS OF CLINTON COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "MCMONIGLE",
        "authorized_official_first_name": "BRAD",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-228-7800",
        "authorized_official_credential": "PCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2473998",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHRCCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wilmington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.