Customized Behavioral Healthcare

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6935 Issued in OH

Legal business name

CUSTOMIZED BEHAVIORAL HEALTHCARE

Practice address

3244 Henderson Rd Ste 4
Columbus, OH 43220-7300

Phone

(614) 664-3175

Fax

(614) 386-1692

NPI assigned

May 11, 2017

Last updated

Nov 9, 2023By 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

Dr. Anthony Lamont Rivers, PSY.D.NPI 1982982963

Title

Owner

Phone

(614) 664-3175

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Anthony Rivers, PSY.D.

  • Psychologist
  • Columbus, OH
  • NPI 1982982963

  Clinical

  NPD Authorized official
• Emily Margaret Deming-Rivers, PH.D.

  • Psychologist
  • Columbus, OH
  • NPI 1124705918
  NPD
• Essence Deming-Rivers, PSYD

  • Clinical Psychologist
  • Columbus, OH
  • NPI 1073168910
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1447786447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8842 CRESTWATER DR",
            "city": "GALLOWAY",
            "state": "OH",
            "postal_code": "431199470",
            "telephone_number": "614-330-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3244 HENDERSON RD STE 4",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432207300",
            "telephone_number": "614-664-3175",
            "fax_number": "614-386-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUSTOMIZED BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "LAMONT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-664-3175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "6935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Stewart Custer
• Jennifer Custer, MSN, RN, CPNP-PC
• Anne M Custis
• Natalie Jane Custis, MS, CNP
• Customized Behavioral Healthcare
• Customized Home Health Care LLC
• Customprescription
• Customprescription Inc
• Elaine Cutler, PHARMD, BCOP
• Gregory Louis Cvetanovich, M.D.

• Clinical Psychologist in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Psychologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.