Organization Active NPI

Vitality Community Care Center

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Columbus, OH
National Provider Identifier
1699516401
Registry record updated Jun 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
Legal business name
VITALITY COMMUNITY CARE CENTER
Practice address
2686 Crossroads Plaza Dr
Columbus, OH 43219-3442
Phone
(614) 664-3331
NPI assigned
Jun 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2024

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

Authorized official

Name
Dr. Latonya Carroll, DNP
Title
President
Phone
(614) 644-3331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084A0401X Primary
Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0800X

Addresses

Primary practice location

2686 Crossroads Plaza Dr
Columbus, OH 43219-3442

Mailing address

1391 W 5TH Ave # 241
Columbus, OH 43212-2902
Phone (614) 664-3331

National Provider Directory

National Provider Directory

Locations

2686 Crossroads Plaza Dr
Columbus, OH 43219
Phone (877) 318-0934

NPI Registry JSON

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

{
    "created_epoch": "1717545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717545600000",
    "number": "1699516401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1391 W 5TH AVE # 241",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432122902",
            "telephone_number": "614-664-3331",
            "fax_number": "888-831-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2686 CROSSROADS PLAZA DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432193442",
            "telephone_number": "614-664-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VITALITY COMMUNITY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-05",
        "last_updated": "2024-06-05",
        "certification_date": "2024-06-05",
        "status": "A",
        "authorized_official_last_name": "CARROLL",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-644-3331",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 5, 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.