Active NPI
Goal Digital Academy
- Local Education Agency (LEA)
- Ontario, OH
National Provider Identifier
1811474752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- GOAL DIGITAL ACADEMY
- Practice address
- 890 W 4TH St
Ontario, OH 44906-2565 - Phone
- (419) 775-4809
- NPI assigned
- Jul 24, 2018
- 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
- Tish Jenkins, ADMINISTRATIVE LICEN
- Title
- Superintendent
- Phone
- (419) 775-4809
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary |
Addresses
Primary practice location
890 W 4TH St
Ontario, OH 44906-2565
Mailing address
890 W 4TH St
Ontario, OH 44906-2565
Phone (419) 775-4809
National Provider Directory
National Provider DirectoryLocations
890 W 4th St
Ontario, OH 44906
Phone (419) 521-9004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- School Psychologist
- Ontario, OH
- NPI 1174168645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1532390400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1532390400000",
"number": "1811474752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "890 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062565",
"telephone_number": "419-775-4809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "890 W 4TH ST",
"city": "ONTARIO",
"state": "OH",
"postal_code": "449062565",
"telephone_number": "419-775-4809"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOAL DIGITAL ACADEMY",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-24",
"last_updated": "2018-07-24",
"status": "A",
"authorized_official_last_name": "JENKINS",
"authorized_official_first_name": "TISH",
"authorized_official_title_or_position": "SUPERINTENDENT",
"authorized_official_telephone_number": "419-775-4809",
"authorized_official_credential": "ADMINISTRATIVE LICEN"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ontario, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.