NPIMap

Organization Active NPI

Capital Private Psychological Services

  • Clinical Social Worker
  • New Albany, OH
National Provider Identifier
1760016018
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CAPITAL PRIVATE PSYCHOLOGICAL SERVICES
Practice address
4369 Oaks Shadow Dr
New Albany, OH 43054-5001
Phone
(614) 364-6206
NPI assigned
Feb 26, 2020
Last updated
Mar 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Authorized official

Name
Mary Suwinski, MSW, LSW, MBA-HCANPI 1649802513
Title
Owner
Phone
(614) 364-6206

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU Primary
Psychoanalyst 102L00000X NU

Addresses

Primary practice location

4369 Oaks Shadow Dr
New Albany, OH 43054-5001

Mailing address

4369 Oaks Shadow Dr
New Albany, OH 43054-5001
Phone (614) 364-6206

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address msuwinski@capitalpsychological.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250409003783 OH Part B Supplier - Clinic/Group Practice 9537549209 Receives reassigned benefits from 6 practitioners
Practice locations: Columbus, OH

National Provider Directory

National Provider Directory

Locations

1100 Beecher Xing N
Gahanna, OH 43230
Phone (614) 656-7025

722 Buckles Ct N
Ste 210
Gahanna, OH 43230
Phone (614) 656-7025

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1582675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1760016018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4369 OAKS SHADOW DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430545001",
            "telephone_number": "614-364-6206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4369 OAKS SHADOW DR",
            "city": "NEW ALBANY",
            "state": "OH",
            "postal_code": "430545001",
            "telephone_number": "614-364-6206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL PRIVATE PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-26",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "SUWINSKI",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-364-6206",
        "authorized_official_credential": "MSW, LSW, MBA-HCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "msuwinski@capitalpsychological.org",
            "affiliation": "N",
            "address_1": "4369 Oaks Shadow Dr",
            "city": "New Albany",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430545001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Albany, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.