Active NPI
Umch Family Services
- Adolescent and Children Mental Health Clinic/Center
- Columbus, OH
National Provider Identifier
1386987386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- C.0900670
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Child & Adolescent Psychiatry Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3082515 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Umch Family Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Columbus, OH
- NPI 1245376367
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.