| Central Clinic Outpatient Services | |
|
311 Albert Sabin Way Cincinnati OH 45229-2838 | |
| (513) 558-9005 | |
| (513) 558-3880 |
| Full Name | Central Clinic Outpatient Services |
|---|---|
| Speciality | Counselor |
| Location | 311 Albert Sabin Way, Cincinnati, Ohio |
| Authorized Official Name and Position | Kimberly G Mages (CEO/PRESIDENT) |
| Authorized Official Contact | 5135585879 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Clinic Outpatient Services 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-9005 | Central Clinic Outpatient Services 311 Albert Sabin Way Cincinnati OH 45229-2838 Ph: (513) 558-9005 |
| NPI Number | 1326589722 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 02/22/2024 |
| Certification Date | 02/22/2024 |
| Medicare PECOS PAC ID | 3870860380 |
|---|---|
| Medicare Enrollment ID | O20170602002131 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326589722 | NPI | - | NPPES |
| 0216229 | Medicaid | OH |
| Provider Name | Eleanor Mcbeth Maley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508931296 PECOS PAC ID: 5395646426 Enrollment ID: I20040120000755 |
| Provider Name | Robert B Sorscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750349163 PECOS PAC ID: 5395704506 Enrollment ID: I20041005000071 |
| Provider Name | Helena Rura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114003167 PECOS PAC ID: 3072547231 Enrollment ID: I20050927000267 |
| Provider Name | Peirce Wood Johnston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578752226 PECOS PAC ID: 7416134960 Enrollment ID: I20110609000180 |
| Provider Name | Robert T Perkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073937181 PECOS PAC ID: 9739450503 Enrollment ID: I20170814000407 |
| Provider Name | Pamela Brown-anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174984710 PECOS PAC ID: 7214203843 Enrollment ID: I20171025002544 |
| Provider Name | Charles Handel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962543744 PECOS PAC ID: 8224394051 Enrollment ID: I20171113000412 |
| Provider Name | Nelly Rimini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073635223 PECOS PAC ID: 6305104571 Enrollment ID: I20171215001364 |
| Provider Name | Karen Carlisle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518416601 PECOS PAC ID: 6002174646 Enrollment ID: I20180103000830 |
| Provider Name | Daryl Ringwood |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699256123 PECOS PAC ID: 0547624322 Enrollment ID: I20230912003189 |
| Provider Name | Adriana Yodfat Glazer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043701600 PECOS PAC ID: 9931556081 Enrollment ID: I20231110000400 |
| Provider Name | Alejandra Serrano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487145280 PECOS PAC ID: 6103274568 Enrollment ID: I20231122002560 |
| Provider Name | Bryan B Manderfield |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356705867 PECOS PAC ID: 8729439724 Enrollment ID: I20240103003583 |
| Provider Name | Kimberly Garwood Mages |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275996001 PECOS PAC ID: 4587015425 Enrollment ID: I20240104004077 |
| Provider Name | Maria Piombo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225161219 PECOS PAC ID: 5395196877 Enrollment ID: I20240109002651 |
| Provider Name | Robert Weghorst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598263998 PECOS PAC ID: 7416309950 Enrollment ID: I20240119001937 |
| Provider Name | Alicia Back |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629518584 PECOS PAC ID: 9739532359 Enrollment ID: I20240131001501 |
| Provider Name | Angelita Marie Cook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083365621 PECOS PAC ID: 6901240886 Enrollment ID: I20240219003247 |
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