SELAH HOUSE OUTPATIENT CINCINNATI LLC
NPI 1093384596
Clinic/Center - Adult Mental Health in Mason, OH

NPI Status: Active since June 21, 2021

Contact Information

3530 IRWIN SIMPSON RD FL 2
MASON, OH
ZIP 45040
Phone: (513) 223-3923

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  • Organization
  • Clinic/Center
  • Adult Mental Health
  • Accepts Insurance
  • CLIA Number: 36D2251284
  • CLIA Cert. Type: Other - EATING DISORDER OUTPT
  • CLIA Exp. Date: 02-01-2026

About SELAH HOUSE OUTPATIENT CINCINNATI LLC

This page provides the complete NPI Profile along with additional information for Selah House Outpatient Cincinnati Llc, a provider established in Mason, Ohio operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1093384596 assigned on June 2021. The practitioner's primary taxonomy code is 261QM0850X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Selah House Outpatient Cincinnati Llc. The authorized official of this NPI record is Scott Sarnacke (Cfo)

NPI
1093384596
Provider Legal Name
TOLEDO CENTER FOR EATING DISORDERS LLC
Other Organization Name
SELAH HOUSE OUTPATIENT CINCINNATI LLC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3530 IRWIN SIMPSON RD FL 2 MASON, OH 45040
Location Phone
(513) 223-3923
Mailing Address
3530 IRWIN SIMPSON RD FL 2 MASON, OH 45040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-21-2021
Last Update Date
05-31-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5400 for HSA - HMO
  • Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO
  • Bronze Classic 4700 (Select) - HMO
  • Bronze Classic PCP Saver (Select) - HMO
  • Bronze Classic Standard (Select) - HMO
  • Gold Classic (Select) - HMO
  • Gold Classic Standard (Select) - HMO
  • Gold Elite Saver Plus (Select) - HMO
  • Secure (Select) - HMO
  • Silver Classic Standard (Select) - HMO
  • Silver Elite Saver Plus (Select) - HMO
  • Silver Simple Chronic Care CKM (Select) - HMO
  • Silver Simple PCP Saver (Select) - HMO
  • Bronze Classic PCP Saver - HMO
  • Bronze Classic Standard - HMO
  • Bronze Simple HSA - HMO
  • Gold Classic Standard - HMO
  • Gold Elite - HMO
  • Gold Elite Saver Plus - HMO
  • Secure - HMO
  • Silver Classic Standard - HMO
  • Silver Elite Saver Plus - HMO
  • Silver Simple Chronic Care CKM - HMO
  • Silver Simple Diabetes - HMO
  • Silver Simple PCP Saver - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SCOTT SARNACKE

Authorized Official Title
CFO
Authorized Official Phone
(615) 864-8154

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
36D2251284
Facility Type
Other - EATING DISORDER OUTPT
Certificate Effective Date
February 02, 2024
Certificate Expiration Date
February 01, 2026
Laboratory Director
PAUL BITTNER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Selah House Outpatient Cincinnati Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SELAH HOUSE OUTPATIENT CINCINNATI LLC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093384596
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20183688518
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 6 + 8 + 8 + 5 + 1 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 66

The NPI number 1093384596 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093384596, enumerated in the NPI registry as an "organization" on June 21, 2021

The provider is located at 3530 Irwin Simpson Rd Fl 2 Mason, Oh 45040 and the phone number is (513) 223-3923

This medical organization specializes in Clinic/Center with taxonomy code 261QM0850X with a focus in Adult Mental Health

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, MedMutual,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D2251284 for a "other - eating disorder outpt" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on June 21, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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