Clinic 5 LLC

Primary specialty

Addiction Medicine (Preventive Medicine) PhysicianTaxonomy code 2083A0300X

Legal business name

CLINIC 5 LLC

Practice address

1466 Northwest Blvd
Columbus, OH 43212-3063

Phone

(614) 598-9960

NPI assigned

Nov 8, 2019

Last updated

Nov 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan Couri

Title

Member

Phone

(614) 598-9960

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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.

• Johnathon Daniel Couri, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1730863028
  NPD
• Jennifer Ann Stegmiller, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1366914764
  NPD

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

{
    "created_epoch": "1573171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573171200000",
    "number": "1407491970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1466 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 NORTHWEST BLVD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123063",
            "telephone_number": "614-598-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINIC 5 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-08",
        "last_updated": "2019-11-08",
        "status": "A",
        "authorized_official_last_name": "COURI",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "614-598-9960",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083A0300X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren R Cline, RN
• Marsha L Cline, LPN
• Michael Robert Cline, M.D.
• Cynthia M Clingan, PC
• Kristina Clingan, MSW, LSW
• Clinic Medical Services Company (Cleveland Clinic Star Imaging)
• Clinic Medical Services Company (Cleveland Clinic STAR Imaging)
• Clinic Medical Services Company (Cleveland Clinic Star Imaging)
• Clinic Orthopeadic Products
• Clinic Pharmacy Inc (Clinic Pharmacy)

• Addiction Medicine (Preventive Medicine) Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction Medicine (Preventive Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.