Active NPI
Umatr
- Adolescent and Children Mental Health Clinic/Center
- Dayton, OH
National Provider Identifier
1992417661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- UMATR
- Practice address
- 519 Xenia Ave
Dayton, OH 45410-1823 - Phone
- (937) 369-3020
- NPI assigned
- Dec 14, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Keith Anthony Vukasinovich
- Title
- Ceo
- Phone
- (937) 369-3020
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X | |||
| Children's Substance Abuse Rehabilitation Facility | 3245S0500X |
Addresses
Primary practice location
519 Xenia Ave
Dayton, OH 45410-1823
Mailing address
201 W Franklin St Ste B
Centerville, OH 45459-4700
Phone (937) 369-3020
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670976000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670976000000",
"number": "1992417661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W FRANKLIN ST STE B",
"city": "CENTERVILLE",
"state": "OH",
"postal_code": "454594700",
"telephone_number": "937-369-3020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "519 XENIA AVE",
"city": "DAYTON",
"state": "OH",
"postal_code": "454101823",
"telephone_number": "937-369-3020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UMATR",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-14",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A",
"authorized_official_last_name": "VUKASINOVICH",
"authorized_official_first_name": "KEITH",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "937-369-3020",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "3245S0500X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.