NPIMap

Organization Active NPI

Holistic Psychiatry and Anti-Aging Medicine LLC

  • Specialist
  • Columbus, OH
National Provider Identifier
1265733885
Registry record updated Mar 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35.044652 Issued in OH
Legal business name
HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC
Practice address
2939 Kenny Rd
Suite 180
Columbus, OH 43221-2406
Phone
(740) 403-2672
Fax
(614) 457-0834
NPI assigned
Nov 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2011

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

Authorized official

Name
Linda Sue Rings
Title
Office Manager
Phone
(614) 596-8599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35.044652 OH Primary

Addresses

Primary practice location

2939 Kenny Rd
Suite 180
Columbus, OH 43221-2406

Mailing address

2939 Kenny Rd
Suite 180
Columbus, OH 43221-2406
Phone (740) 403-2672

Other identifiers 1

IdentifierTypeStateIssuer
1710077664OtherOHEIN

National Provider Directory

National Provider Directory

Locations

2939 Kenny Rd
Ste 180
Columbus, OH 43221
Phone (614) 326-4673

NPI Registry JSON

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

{
    "created_epoch": "1289520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299628800000",
    "number": "1265733885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD",
            "address_2": "SUITE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "740-403-2672",
            "fax_number": "614-457-0834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2939 KENNY RD",
            "address_2": "SUITE 180",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432212406",
            "telephone_number": "740-403-2672",
            "fax_number": "614-457-0834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PSYCHIATRY AND ANTI-AGING MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-12",
        "last_updated": "2011-03-09",
        "status": "A",
        "authorized_official_last_name": "RINGS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-596-8599"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.044652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN",
            "identifier": "1710077664",
            "state": "OH"
        }
    ],
    "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 Mar 9, 2011; 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.