Central Clinic Forensic Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

10126 Issued in OH

Legal business name

CENTRAL CLINIC FORENSIC SERVICES

Doing business as

Court Clinic

Practice address

909 Sycamore St
Cincinnati, OH 45202-1305

Phone

(513) 352-1342

Fax

(513) 352-1345

NPI assigned

May 22, 2012

Last updated

May 22, 2012By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 2

Other names 1

• Court Clinic Doing business as

Tax ID family

Central Clinic Forensic 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.

• Central Clinic Forensic Services

  dba CPC/Court Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Cincinnati, OH
  • NPI 1508979444
  NPD tax ID

Locations

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1881954972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021305",
            "telephone_number": "513-352-1342",
            "fax_number": "513-352-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 SYCAMORE ST",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021305",
            "telephone_number": "513-352-1342",
            "fax_number": "513-352-1345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL CLINIC FORENSIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "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": "10126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARF",
            "identifier": "41177",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC-21-41",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Court Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Cincinnati Group Medical Practice
• Central Clinic
• Central Clinic
• Central Clinic Adult Care (CC-Child/Adult Care)
• Central Clinic Forensic Services (CPC/Court Clinic)
• Central Clinic Inc
• Central Clinic Inc Mental Health Access Point (Central Connection)
• Central Clinic Inc Mental Health Access Point (Central Connection)
• Central Clinic Outpatient Services
• Central Clinic Outpatient Services

• Community/Behavioral Health Agency in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.