Organization Active NPI

Frontline Healthcare

  • Health Service Psychologist
  • Columbus, OH
National Provider Identifier
1457194656
Registry record updated Jun 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service PsychologistTaxonomy code 103TH0100X
Legal business name
FRONTLINE HEALTHCARE
Doing business as
Frontline Healthcare
Practice address
21 E State St Ste 200
Columbus, OH 43215-0109
Phone
(330) 815-5494
NPI assigned
Jun 15, 2024
Organization subpart
Yes
Parent organization
ALKAHLIVIN LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 15, 2024

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

Authorized official

Name
Millicent Brandon-Porter
Title
Ceo
Phone
(330) 815-5494

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TH0100X Primary

Addresses

Primary practice location

21 E State St Ste 200
Columbus, OH 43215-0109

Mailing address

6124 Mound St
Columbus, OH 43232-3540

Other names 1

  • Frontline Healthcare Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Frontline Healthcare2 organizations share this tax ID, including this one
Part of
Frontline Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1718409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718409600000",
    "number": "1457194656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 MOUND ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432323540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 E STATE ST STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432150109",
            "telephone_number": "330-815-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRONTLINE HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ALKAHLIVIN LLC",
        "enumeration_date": "2024-06-15",
        "last_updated": "2024-06-15",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "BRANDON-PORTER",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "330-815-5494"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Frontline Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 15, 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.