Organization Active NPI

Childrens Diagnostic Center

Doing business as CDC Mental Health Services

  • Community/Behavioral Health Agency
  • Hamilton, OH
National Provider Identifier
1881954287
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
10057 Issued in OH
Legal business name
CHILDRENS DIAGNOSTIC CENTER
Doing business as
CDC Mental Health Services
Practice address
2100 Pleasant Ave
Hamilton, OH 45015-1133
Phone
(513) 868-1562
Fax
(513) 868-1415
NPI assigned
May 21, 2012
Last updated
May 21, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Dr. Walter S Smitson, PH.D.
Title
President / Ceo
Phone
(513) 558-9015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 10057 OH Primary

Addresses

Primary practice location

2100 Pleasant Ave
Hamilton, OH 45015-1133

Mailing address

2100 Pleasant Ave
Hamilton, OH 45015-1133
Phone (513) 868-1562

Other identifiers 2

IdentifierTypeStateIssuer
MC-07-04MedicaidOH
41177OtherOHCARF

Other names 1

  • CDC Mental Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
CDC Mental Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2100 Pleasant Ave
Hamilton, OH 45015
Phone (513) 868-1562

NPI Registry JSON

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1881954287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151133",
            "telephone_number": "513-868-1562",
            "fax_number": "513-868-1415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 PLEASANT AVE",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450151133",
            "telephone_number": "513-868-1562",
            "fax_number": "513-868-1415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS DIAGNOSTIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "513-558-9015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "10057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC-07-04",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF",
            "identifier": "41177",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CDC Mental Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hamilton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.