NPIMap

Organization Active NPI

Darke County Mental Health Clinic, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Greenville, OH
National Provider Identifier
1811920697
Registry record updated Apr 25, 2013
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
DARKE COUNTY MENTAL HEALTH CLINIC, INC
Practice address
212 E Main St
Greenville, OH 45331-1913
Phone
(937) 548-1635
Fax
(937) 548-1500
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Cynthia K. Moore
Title
President - Board of Directors
Phone
(937) 548-6842

Specialties & licenses 2

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

Addresses

Primary practice location

212 E Main St
Greenville, OH 45331-1913

Mailing address

PO Box 895
Greenville, OH 45331-1913
Phone (937) 548-1635

Other identifiers 1

IdentifierTypeStateIssuer
0959440MedicaidOH

National Provider Directory

National Provider Directory

Locations

212 E Main St
Greenville, OH 45331
Phone (937) 423-6344

550 Summit Ave
Troy, OH 45373
Phone (937) 335-0361

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1811920697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 895",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E MAIN ST",
            "city": "GREENVILLE",
            "state": "OH",
            "postal_code": "453311913",
            "telephone_number": "937-548-1635",
            "fax_number": "937-548-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARKE COUNTY MENTAL HEALTH CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT - BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "937-548-6842"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0959440",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.