Community Support Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

I 0007788 Issued in OH

Legal business name

COMMUNITY SUPPORT NETWORK

Practice address

3595 Sullivant Ave
Columbus, OH 43228-2121

Phone

(614) 752-0333

Fax

(614) 995-3268

NPI assigned

Mar 29, 2010

Organization subpart

Yes

Parent organization

TWIN VALLEY BEHAVIORAL HEALTHCAREAs reported in NPPES

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

Authorized official

Name

Mr. Robert Short

Title

Ceo

Phone

(614) 752-0333

Specialties & licenses 1

Addresses

Part of

Central Ohio Pyschiatri

Locations

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1255656609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282121",
            "telephone_number": "614-752-0333",
            "fax_number": "614-995-3268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 SULLIVANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432282121",
            "telephone_number": "614-752-0333",
            "fax_number": "614-995-3268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SUPPORT NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TWIN VALLEY BEHAVIORAL HEALTHCARE",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "SHORT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-752-0333",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "I 0007788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Columbus, OH
• Providers in Columbus, OH by specialty
• Community/Behavioral Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.