Organization Active NPI

Columbus Center for Behavior and Learning

  • Nurse Practitioner
  • Columbus, OH
National Provider Identifier
1720163900
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN169328 NP01025 Issued in OH
Legal business name
COLUMBUS CENTER FOR BEHAVIOR AND LEARNING
Practice address
6495 East Broad Street
Suite C
Columbus, OH 43213
Phone
(614) 322-9760
Fax
(614) 322-9762
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Alex R Dubin, MD
Title
Director Owner
Phone
(614) 322-9760

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 959 OH
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X 5519 OH
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 35029221 OH
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN169328 NP01025 OH Primary

Addresses

Primary practice location

6495 East Broad Street
Suite C
Columbus, OH 43213

Mailing address

6495 East Broad Street
Suite C
Columbus, OH 43213
Phone (614) 322-9760

National Provider Directory

National Provider Directory

Locations

6495 E Broad St
Ste C
Columbus, OH 43213
Phone (614) 322-9760

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720163900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 EAST BROAD STREET",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-322-9760",
            "fax_number": "614-322-9762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 EAST BROAD STREET",
            "address_2": "SUITE C",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43213",
            "telephone_number": "614-322-9760",
            "fax_number": "614-322-9762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS CENTER FOR BEHAVIOR AND LEARNING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DUBIN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "614-322-9760",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "959",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "OH",
            "license": "5519",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35029221",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "RN169328 NP01025",
            "primary": true
        }
    ],
    "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 Sep 11, 2025; 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.