Organization Active NPI

Southern Ohio Behavioral Health Services

  • Social Worker
  • Portsmouth, OH
National Provider Identifier
1902773039
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
SOUTHERN OHIO BEHAVIORAL HEALTH SERVICES
Practice address
602 Chillicothe St Ste M104
Portsmouth, OH 45662-4039
Phone
(740) 935-1076
NPI assigned
Oct 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Authorized official

Name
Angela Dyke, MSW,LISW-SNPI 1437667045
Title
Sole Proprietor
Phone
(740) 935-1076

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

602 Chillicothe St Ste M104
Portsmouth, OH 45662-4039

Mailing address

602 Chillicothe St Ste M104
Portsmouth, OH 45662-4039
Phone (740) 935-1076

National Provider Directory

National Provider Directory

Locations

602 Chillicothe St
Ste M104
Portsmouth, OH 45662
Phone (740) 464-0631

Practitioners & affiliated clinicians

Practitioners 1

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": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1902773039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 CHILLICOTHE ST STE M104",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624039",
            "telephone_number": "740-935-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 CHILLICOTHE ST STE M104",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624039",
            "telephone_number": "740-935-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OHIO BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "740-935-1076",
        "authorized_official_credential": "MSW,LISW-S"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.