Provider Demographics
NPI:1053377184
Name:BUTLER BEHAVIORAL HEALTH SERVICES, INC.
Entity type:Organization
Organization Name:BUTLER BEHAVIORAL HEALTH SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE ASSISTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:RASP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-881-7189
Mailing Address - Street 1:1490 UNIVERSITY BLVD.
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011-3305
Mailing Address - Country:US
Mailing Address - Phone:513-881-7189
Mailing Address - Fax:513-881-7188
Practice Address - Street 1:1490 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-3315
Practice Address - Country:US
Practice Address - Phone:513-881-7189
Practice Address - Fax:513-881-7188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2019-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0200928Medicaid
OH0200928Medicaid
OHA7026Medicare UPIN
OHI04188Medicare ID - Type Unspecified
OH9161441Medicare PIN
OHI04188Medicare ID - Type Unspecified
OH9161444Medicare PIN
OHA7026Medicare UPIN