Healthcare Provider Details

I. General information

NPI: 1508936204
Provider Name (Legal Business Name): CENTRAL OHIO BEHAVIORAL MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5151 REED RD BLDG C STE 128
COLUMBUS OH
43220-2553
US

IV. Provider business mailing address

5151 REED RD BLDG C STE 128
COLUMBUS OH
43220-2553
US

V. Phone/Fax

Practice location:
  • Phone: 614-538-8300
  • Fax: 614-538-1656
Mailing address:
  • Phone: 614-538-8300
  • Fax: 614-538-1656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER PANOS ZAFIRIDES
Title or Position: PRESIDENT
Credential: MD
Phone: 614-538-8300