NPIMap

Organization Active NPI

State of Ohio

  • Community/Behavioral Health Agency
  • London, OH
National Provider Identifier
1902218779
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
6854 Issued in OH
Legal business name
STATE OF OHIO
Practice address
1580 State Route 56 SW
London Correctional Institution
London, OH 43140-8623
Phone
(740) 852-2454
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Princess Cripe, PSY.D.
Title
Staff Psychologist
Phone
(740) 852-2454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 6854 OH Primary

Addresses

Primary practice location

1580 State Route 56 SW
London Correctional Institution
London, OH 43140-8623

Mailing address

1049 Seacove Cir
Apt. G
London, OH 43140-9134
Phone (740) 852-2454

National Provider Directory

National Provider Directory
Tax ID family
Southwest Ohio Developc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1580 State Route 56 SW
London, OH 43140
Phone (740) 852-2454

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1902218779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 SEACOVE CIR",
            "address_2": "APT. G",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431409134",
            "telephone_number": "740-852-2454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 STATE ROUTE 56 SW",
            "address_2": "LONDON CORRECTIONAL INSTITUTION",
            "city": "LONDON",
            "state": "OH",
            "postal_code": "431408623",
            "telephone_number": "740-852-2454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "CRIPE",
        "authorized_official_first_name": "PRINCESS",
        "authorized_official_title_or_position": "STAFF PSYCHOLOGIST",
        "authorized_official_telephone_number": "740-852-2454",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "6854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in London, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.