NPIMap

Organization Active NPI

Access Behavioral LLC

  • Multi-Specialty Clinic/Center
  • Kenton, OH
National Provider Identifier
1194333286
Registry record updated Jul 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACCESS BEHAVIORAL LLC
Practice address
15047 State Route 309
Kenton, OH 43326-9701
Phone
(419) 673-0595
NPI assigned
Jul 15, 2020
Organization subpart
Yes
Parent organization
ACCESS BEHAVIORAL LLCAs reported in NPPES

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Access Behavioral LLC9 organizations share this tax ID, including this one
Part of
Access Behavioral LLC

Other organizations with this tax ID 8

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

Locations

15047 State Route 309
Kenton, OH 43326
Phone (419) 673-0595

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Srinivas Ponneri
Title
Manager
Phone
(614) 373-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

15047 State Route 309
Kenton, OH 43326-9701

Mailing address

15047 State Route 309
Kenton, OH 43326-9701
Phone (419) 673-0595

Other names 1

  • ACCESS HEALTH NETWORK Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1594771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1194333286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15047 STATE ROUTE 309",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269701",
            "telephone_number": "419-673-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15047 STATE ROUTE 309",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433269701",
            "telephone_number": "419-673-0595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS BEHAVIORAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACCESS BEHAVIORAL LLC",
        "enumeration_date": "2020-07-15",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "PONNERI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-373-4202"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ACCESS HEALTH NETWORK",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kenton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2020; 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.