MELISSA ANN BOOTH NPI 1316541402

NPI Information

NPI: 1316541402
Provider Name: MELISSA ANN BOOTH
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Individual
Address:
326 PATTON AVE
WINTERSVILLE, OH
ZIP 43953
Phone: (740) 317-7734
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Melissa Ann Booth is a community behavioral health in Wintersville, OH. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Melissa Ann Booth NPI is 1316541402. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

326 PATTON AVE
WINTERSVILLE, OH
ZIP 43953-848
Phone: (740) 317-7734

The enumeration date for this NPI number is 11/30/2020 and was last updated on 10/20/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	172A00000X	Driver		RT055489	OHIO	No
2	251S00000X	Community/Behavioral Health		4101475	OHIO	No
3	251X00000X	Supports Brokerage		DODD4101475	OHIO	No
4	253Z00000X	In Home Supportive Care		DODD4101475	OHIO	No
5	3747P1801X	Technician	Personal Care Attendant	DODD4101475	OHIO	No
6	385HR2060X	Respite Care	Respite Care, Intellectual and/or Developmental Disabilities	DODD4101475	OHIO	No
7	251S00000X	Community/Behavioral Health		DODD4101475	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0058808	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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