Organization Active NPI

Central Community Health Board of Hamilton County, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cincinnati, OH
National Provider Identifier
1972617728
Registry record updated Feb 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
080 Issued in OH
Legal business name
CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY, INC
Practice address
532 Maxwell Ave
Cincinnati, OH 45219-2408
Phone
(513) 559-2000
Fax
(513) 559-2020
NPI assigned
Aug 18, 2006
Last updated
Feb 23, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2012

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

Authorized official

Name
Mr. Bennett J Cooper Jr.
Title
Executive Director
Phone
(513) 559-2913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 080 OH Primary

Addresses

Primary practice location

532 Maxwell Ave
Cincinnati, OH 45219-2408

Mailing address

532 Maxwell Ave
Cincinnati, OH 45219-2408
Phone (513) 559-2000

Other identifiers 1

IdentifierTypeStateIssuer
MC21-12MedicaidOH

National Provider Directory

National Provider Directory

Locations

3020 Vernon Pl
Cincinnati, OH 45219
Phone (513) 559-2000

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": "1155859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329955200000",
    "number": "1972617728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MAXWELL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192408",
            "telephone_number": "513-559-2000",
            "fax_number": "513-559-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAXWELL AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192408",
            "telephone_number": "513-559-2000",
            "fax_number": "513-559-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COMMUNITY HEALTH BOARD OF HAMILTON COUNTY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-18",
        "last_updated": "2012-02-23",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "BENNETT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-559-2913",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "OH",
            "license": "080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MC21-12",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.