Provider Demographics
NPI:1124136791
Name:POSITIVE PERSPECTIVES, INC.
Entity type:Organization
Organization Name:POSITIVE PERSPECTIVES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:LEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:937-390-3800
Mailing Address - Street 1:4949 URBANA RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45502-8387
Mailing Address - Country:US
Mailing Address - Phone:937-390-3800
Mailing Address - Fax:937-390-3804
Practice Address - Street 1:4949 URBANA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45502-8387
Practice Address - Country:US
Practice Address - Phone:937-390-3800
Practice Address - Fax:937-390-3804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-25
Last Update Date:2014-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1437103TC0700X
OHI00049791041C0700X
OH5881103TC2200X
OHE0500063101YP2500X
OHI00060021041C0700X
OHI00007241041C0700X, 1041C0700X
OHE0007828101YP2500X
OHI00043981041C0700X
OHE0002761101YP2500X
OHI07000951041C0700X
OH4914103TC0700X, 103TC0700X
OHI00015771041C0700X
OH3536103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9288562Medicare PIN
OH9288563Medicare PIN
OH9288561Medicare PIN