Organization Active NPI

Umch Family Services

  • Adolescent and Children Mental Health Clinic/Center
  • Columbus, OH
National Provider Identifier
1386987386
Registry record updated Sep 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
C.0900670 Issued in OH
Legal business name
UMCH FAMILY SERVICES
Practice address
431 E Broad St
Columbus, OH 43215-4004
Phone
(614) 885-5020
Fax
(614) 885-4058
NPI assigned
Mar 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2021

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

Authorized official

Name
Sean Reilly, LISW-S
Title
Executive Director
Phone
(614) 885-5020

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X
Adolescent and Children Mental Health Clinic/Center 261QM0855X C.0900670 OH Primary

Addresses

Primary practice location

431 E Broad St
Columbus, OH 43215-4004

Mailing address

431 E Broad St
Columbus, OH 43215-4004
Phone (614) 885-5020

Other practice location 1

5975 Cleveland Ave
Columbus, OH 43231-2256
Phone (614) 885-5020

Other practice location 2

5330 E Main St
Columbus, OH 43213-2571
Phone (614) 885-5020

Other identifiers 1

IdentifierTypeStateIssuer
3082515MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Umch Family Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5330 E Main St
Columbus, OH 43213
Phone (614) 885-5020

431 E Broad St
Columbus, OH 43215
Phone (614) 885-5020

NPI Registry JSON

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

{
    "created_epoch": "1364428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1386987386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154004",
            "telephone_number": "614-885-5020",
            "fax_number": "614-885-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 E BROAD ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432154004",
            "telephone_number": "614-885-5020",
            "fax_number": "614-885-4058"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5975 Cleveland Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432312256",
            "country_code": "US",
            "telephone_number": "614-885-5020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432132571",
            "country_code": "US",
            "telephone_number": "614-885-5020",
            "fax_number": "614-885-4058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UMCH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-28",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "614-885-5020",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "C.0900670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3082515",
            "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 Sep 22, 2021; 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.