OrganizationActive
Notably Gifted Health and Wellness
NPI 1851108104 · Adolescent and Children Mental Health Clinic/Center · Moraine, OH
Provider details
- NPI number
- 1851108104
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Kennerson, Owner(937) 985-3703
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2800 E River Rd
Moraine, OH 45439-1538
Phone: (937) 985-3703
Street-level locationGet directions
Mailing address
2800 E River Rd
Moraine, OH 45439-1538
Registry dates
- Enumerated
- 2024-12-11
- Last updated
- 2024-12-11
- Certified
- 2024-12-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.