Maryhaven

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

160921 Issued in OH

Legal business name

MARYHAVEN

Practice address

1791 Alum Creek Dr
Columbus, OH 43207-1708

Phone

(614) 445-8131

NPI assigned

Oct 19, 2016

Last updated

Oct 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Natalie Deann Dalton, CDCA

Title

Counselor Assistant

Phone

(614) 445-8131

Specialties & licenses 1

Addresses

Tax ID family

Maryhaven3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Maryhaven Inc.

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1922368166
  NPD tax ID
• Maryhaven, Inc.

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1821539586
  NPD tax ID

Locations

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1083165633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1791 ALUM CREEK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432071708",
            "telephone_number": "614-445-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYHAVEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "DEANN",
        "authorized_official_title_or_position": "COUNSELOR ASSISTANT",
        "authorized_official_telephone_number": "614-445-8131",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CDCA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "160921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marx, CRNA
• Jolanda Marx, BCBA/COBA
• Korey Marx, LPCC-S
• Mary E Scott M.D Inc.
• Mary Muema
• Maryhaven
• Maryhaven Inc.
• Maryhaven Inc.
• Maryhaven, Inc.
• Marys Loving Hands LLC

• Substance Abuse Rehabilitation Facility in Columbus, OH
• Providers in Columbus, OH by specialty
• Substance Abuse Rehabilitation Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.