Active NPI
Foundations Behavioral Health Services, Inc.
- Community/Behavioral Health Agency
- Celina, OH
National Provider Identifier
1790032472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FOUNDATIONS BEHAVIORAL HEALTH SERVICES, INC.
- Practice address
- 4761 State Route 29
Celina, OH 45822-8216 - Phone
- (419) 584-1000
- Fax
- (419) 584-1825
- NPI assigned
- Aug 13, 2012
- Last updated
- Dec 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Gable, LISW
- Title
- Executive Director
- Phone
- (419) 584-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
4761 State Route 29
Celina, OH 45822-8216
Mailing address
4761 State Route 29
Celina, OH 45822-8216
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0057776 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Mercer County Mental HL
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Celina, OH
- NPI 1962671768
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Celina, OH
- NPI 1336118330
Locations
4761 State Route 29
Celina, OH 45822
Phone (419) 584-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1607904000000",
"number": "1790032472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4761 STATE ROUTE 29",
"city": "CELINA",
"state": "OH",
"postal_code": "458228216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4761 STATE ROUTE 29",
"city": "CELINA",
"state": "OH",
"postal_code": "458228216",
"telephone_number": "419-584-1000",
"fax_number": "419-584-1825"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FOUNDATIONS BEHAVIORAL HEALTH SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-13",
"last_updated": "2020-12-14",
"certification_date": "2020-12-14",
"status": "A",
"authorized_official_last_name": "GABLE",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "419-584-1000",
"authorized_official_credential": "LISW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0057776",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Celina, OH
- David James Forsthoefel, D.D.S.
- Mary Fortkamp, RN RRT
- Alizabeth Foster
- Foundations Behavioral Health Services Inc
- Foundations Behavioral Health Services, Inc.
- Fresenius Medical Care Celina, LLC (Fresenius Kidney Care Celina)
- Beverly J Froning, PMHNP-BC
- Shelley S Fullenkamp, LSW, LPC
- Gardens at Celina Operating Company, LLC (Gardens at Celina)
- Gardens at Celina Operating Company, LLC (The Gardens at Celina)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.