Individual provider Active NPI

Joseph Fondriest, M.D.

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1447783154
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.136386 Issued in OH
Practice address
1670 Fishinger Rd Ste 200
Columbus, OH 43221-1420
Phone
(614) 456-2540
Fax
(614) 633-3675
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.136386 OH Primary

Addresses

Primary practice location

1670 Fishinger Rd Ste 200
Columbus, OH 43221-1420

Mailing address

1670 Fishinger Rd Ste 200
Columbus, OH 43221-1420
Phone (614) 456-2540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190911000722 OH Practitioner - Psychiatry 2769711191 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

1670 Fishinger Rd
Suite 200
Columbus, OH 43221-1446
Phone (216) 468-5000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Coleman Professional Services, Inc. Psychiatry CurrentSince Aug 9, 2019 Accepting new patients
Psychological & Behavioral Consultants, LLC Psychiatry CurrentSince Jul 1, 2021 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

807 Kinnear Rd
Ste 100
Columbus, OH 43212
Phone (480) 864-5232

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

1670 Fishinger Rd
Ste 200
Upper Arlington, OH 43221
Phone (614) 456-2540

Interoperability endpoints

  • Direct secure messaging: pbc.josephfondriest@140098.advancedmd-direct.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1447783154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 FISHINGER RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432211420",
            "telephone_number": "614-456-2540",
            "fax_number": "614-633-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 FISHINGER RD STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432211420",
            "telephone_number": "614-456-2540",
            "fax_number": "614-633-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FONDRIEST",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.136386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.