Healthcare Provider Details

I. General information

NPI: 1124136791
Provider Name (Legal Business Name): POSITIVE PERSPECTIVES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2006
Last Update Date: 07/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4949 URBANA RD SUITE 201
SPRINGFIELD OH
45502-8387
US

IV. Provider business mailing address

4949 URBANA RD SUITE 201
SPRINGFIELD OH
45502-8387
US

V. Phone/Fax

Practice location:
  • Phone: 937-390-3800
  • Fax: 937-390-3804
Mailing address:
  • Phone: 937-390-3800
  • Fax: 937-390-3804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0500063
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0007828
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberE0002761
License Number StateOH
# 4
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4914
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number1437
License Number StateOH
# 6
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number5881
License Number StateOH
# 7
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0006002
License Number StateOH
# 8
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0000724
License Number StateOH
# 9
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0004979
License Number StateOH
# 10
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0004398
License Number StateOH
# 11
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI0700095
License Number StateOH

VIII. Authorized Official

Name: MS. CHERYL BETH LEVINE
Title or Position: VICE PRESIDENT
Credential: PSY.D.
Phone: 937-390-3800