The Marysville Union

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE MARYSVILLE UNION

Practice address

16645 Square Dr
Marysville, OH 43040-3510

Phone

(937) 250-1433

NPI assigned

Dec 11, 2023

Last updated

Dec 11, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

THE MARYSVILLE UNIONAs reported in NPPES

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

Authorized official

Name

Dr. Bryan David Borland, D.O.NPI 1457643637

Title

Medical Director

Phone

(740) 405-2674

Specialties & licenses 1

Addresses

Tax ID family

The Marysville Union Clubhouse2 organizations share this tax ID, including this one

Part of

The Marysville Union Clubhouse

Other organizations with this tax ID 1

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

• The Marysville Union Clubhouse

  dba The Marysville Union

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marysville, OH
  • NPI 1992487136
  NPD tax ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bryan David Borland, DO

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Columbus, OH
  • NPI 1457643637
  NPD Authorized official
• Joseph William Johnson

  • Addiction (Substance Use Disorder) Counselor
  • Marion, OH
  • NPI 1477364396
  NPD
• Laney Willey

  • Case Manager/Care Coordinator
  • Columbus, OH
  • NPI 1699400697
  NPD

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1336916139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16645 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403510",
            "telephone_number": "937-250-1433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16645 SQUARE DR",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403510",
            "telephone_number": "937-250-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARYSVILLE UNION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE MARYSVILLE UNION",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A",
        "authorized_official_last_name": "BORLAND",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "740-405-2674",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet M Tate, RN
• Keith A Tebbe, MS, ATC
• Monica Vora Tejani, D.O.
• The Kroger Co (Kroger Pharmacy #549)
• The Main Quest Counseling
• The Marysville Union Clubhouse (The Marysville Union)
• The Story of Autism
• Matthew Steven Thompson, OD
• Megan Thompson, LSW
• Sudha Swamy Thompson, MD

• Community/Behavioral Health Agency in Marysville, OH
• Providers in Marysville, 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 Dec 11, 2023; 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.