NPIMap

Organization Active NPI

Southeast Community Mental Health Center

  • Community/Behavioral Health Agency
  • Columbus, OH
National Provider Identifier
1073044004
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
S.1440478 Issued in OH
Legal business name
SOUTHEAST COMMUNITY MENTAL HEALTH CENTER
Practice address
1455 S 4TH St
Columbus, OH 43207-1011
Phone
(614) 327-9008
NPI assigned
Mar 22, 2017
Last updated
Aug 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Brittney Dangler, LISW
Title
Social Worker
Phone
(614) 444-0800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X S.1440478 OH Primary

Addresses

Primary practice location

1455 S 4TH St
Columbus, OH 43207-1011

Mailing address

1455 S 4TH St
Columbus, OH 43207-1011
Phone (614) 327-9008

National Provider Directory

National Provider Directory
Tax ID family
Southeast Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1490140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1073044004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-327-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 S 4TH ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071011",
            "telephone_number": "614-327-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST COMMUNITY MENTAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-22",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "DANGLER",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "614-444-0800",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "S.1440478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 9, 2018; 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.