Foundations Behavioral Health Services Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

FOUNDATIONS BEHAVIORAL HEALTH SERVICES INC

Practice address

4761 State Route 29
Celina, OH 45822-8216

Phone

(419) 584-1000

Fax

(419) 584-1825

NPI assigned

Feb 26, 2008

Last updated

Feb 26, 2008By 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

Mr. Brian J Engle

Title

Executive Director

Phone

(419) 584-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Outpatient Behavioral H3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Foundations Behavioral Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Celina, OH
  • NPI 1336118330
  NPD tax ID
• Foundations Behavioral Health Services, Inc.

  • Community/Behavioral Health Agency
  • Celina, OH
  • NPI 1790032472
  NPD tax ID

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/foundationsbhs/r4/

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

{
    "created_epoch": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1962671768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4761 STATE ROUTE 29",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228216",
            "telephone_number": "419-584-1000",
            "fax_number": "419-584-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4761 STATE ROUTE 29",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458228216",
            "telephone_number": "419-584-1000",
            "fax_number": "419-584-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDATIONS BEHAVIORAL HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "ENGLE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "419-584-1000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2687874",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tabitha Fleck
• Garrett Forlow
• David James Forsthoefel, D.D.S.
• Mary Fortkamp, RN RRT
• Alizabeth Foster
• Foundations Behavioral Health Services, Inc.
• Foundations Behavioral Health Services, Inc.
• Fresenius Medical Care Celina, LLC (Fresenius Kidney Care Celina)
• Beverly J Froning, PMHNP-BC
• Shelley S Fullenkamp, LSW, LPC

• Community/Behavioral Health Agency in Celina, OH
• Providers in Celina, 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 Feb 26, 2008; 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.