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NPI Code Detail

MEDICARE: NORTH CENTRAL MENTAL HEALTH SERVICES, INC.

MEDICARE: NORTH CENTRAL MENTAL HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency1197OH
2261QM0850XAdult Mental Health Clinic/Center0298OH
3261QM0855XAdolescent and Children Mental Health Clinic/Center0298OH
4324500000XSubstance Abuse Rehabilitation Facility2558OH
5261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)0298OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
20004542190OTHEROHAETNA

General Provider Information

NPI Number : 1669437653
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTH CENTRAL MENTAL HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-421-3111
Provider Business Practice Location Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-421-3111
Authorized Official
Title or Position : CFO
Name : JOSEPH NIEDZWIEDSKI
Credential :
Telephone Number : 614-299-6600
Provider Enumeration Date : 04/20/2006
Last Update Date : 10/22/2014

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Directions to “NORTH CENTRAL MENTAL HEALTH SERVICES, INC. ” Practice Location

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