Healthcare Provider Details

I. General information

NPI: 1700673365
Provider Name (Legal Business Name): MCSSI INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2025
Last Update Date: 04/24/2025
Certification Date: 04/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BRYDEN RD # 161
COLUMBUS OH
43215-4839
US

IV. Provider business mailing address

700 BRYDEN RD # 161
COLUMBUS OH
43215-4839
US

V. Phone/Fax

Practice location:
  • Phone: 614-705-6427
  • Fax:
Mailing address:
  • Phone: 614-705-6427
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE MCCURDY
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 614-705-6427