Organization Active NPI

Actnow Behavioral & Medical Services LLC

  • Multi-Specialty Clinic/Center
  • Reynoldsburg, OH
National Provider Identifier
1407696487
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACTNOW BEHAVIORAL & MEDICAL SERVICES LLC
Practice address
2020 Brice Rd Ste 185
Reynoldsburg, OH 43068-3484
Phone
(614) 843-2285
NPI assigned
May 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Roselore Fequiere
Title
Nurse Practitioner
Phone
(614) 843-2285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2020 Brice Rd Ste 185
Reynoldsburg, OH 43068-3484

Mailing address

2020 Brice Rd Ste 185
Reynoldsburg, OH 43068-3484
Phone (614) 843-2285

National Provider Directory

National Provider Directory

Locations

2020 Brice Rd
Ste 185
Reynoldsburg, OH 43068
Phone (614) 600-5530

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1407696487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 BRICE RD STE 185",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683484",
            "telephone_number": "614-843-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 BRICE RD STE 185",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430683484",
            "telephone_number": "614-843-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTNOW BEHAVIORAL & MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "FEQUIERE",
        "authorized_official_first_name": "ROSELORE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-843-2285"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.