Active NPI
Vitality Community Care Center
- Addiction Medicine (Psychiatry & Neurology) Physician
- Columbus, OH
National Provider Identifier
1699516401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | Primary | ||
| Psychiatry Physician | 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 DirectoryLocations
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.