Basic Information
| Provider Information | |||||||||
| NPI: | 1164783312 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | NORTH POINT CONSULTING AND BEHAVIORAL HEALTH | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 40060 NATIONAL RD | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437199763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407820092 | ||||||||
| FaxNumber: | 7407821510 | ||||||||
| Practice Location | |||||||||
| Address1: | 40060 NATIONAL RD | ||||||||
| Address2: | |||||||||
| City: | BETHESDA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437199763 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7407820092 | ||||||||
| FaxNumber: | 7407821510 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/05/2012 | ||||||||
| LastUpdateDate: | 06/05/2012 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | PERRONE | ||||||||
| AuthorizedOfficialFirstName: | THOMAS | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | EXECUTIVE DIRECTOR | ||||||||
| AuthorizedOfficialTelephone: | 7407820092 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MSW, LISW | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251S00000X | 1152586 | OH | Y | Agencies | Community/Behavioral Health |
ID Information
| ID | Type | State | Issuer | Description | 2846880 | 05 | OH | MEDICAID |