NPIMap

Organization Active NPI

Amethyst, Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
National Provider Identifier
1023370533
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
AMETHYST, INC.
Practice address
455 E Mound St
Columbus, OH 43215-5595
Phone
(614) 242-1284
Fax
(614) 242-1286
NPI assigned
Jun 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Terry L Moore, CPA
Title
Chief Financial Officer
Phone
(614) 242-1284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X OH Primary

Addresses

Primary practice location

455 E Mound St
Columbus, OH 43215-5595

Mailing address

455 E Mound St
Columbus, OH 43215-5595
Phone (614) 242-1284

Other identifiers 1

IdentifierTypeStateIssuer
2846620MedicaidOH

Other names 1

  • Amethyst, Inc. Medicaid MH Other name

National Provider Directory

National Provider Directory
Tax ID family
Amethyst Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1339372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339372800000",
    "number": "1023370533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 E MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155595",
            "telephone_number": "614-242-1284",
            "fax_number": "614-242-1286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155595",
            "telephone_number": "614-242-1284",
            "fax_number": "614-242-1286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-11",
        "last_updated": "2012-06-11",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "614-242-1284",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846620",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amethyst, Inc. Medicaid MH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.