NPIMap

Organization Active NPI

Vertava Health Outpatient Ohio LLC

Doing business as Vertava Health Outpatient Ohio - Westerville

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westerville, OH
National Provider Identifier
1780273433
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
VERTAVA HEALTH OUTPATIENT OHIO LLC
Doing business as
Vertava Health Outpatient Ohio - Westerville
Practice address
110 Polaris Pkwy Ste 210
Westerville, OH 43082-8070
Phone
(614) 964-1622
Fax
(614) 964-1805
NPI assigned
Jan 15, 2021
Organization subpart
Yes
Parent organization
VERTAVA HEALTH OUTPATIENT OHIO LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

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

Authorized official

Name
Leigh Ann Thompson
Title
Sr Director
Phone
(615) 921-4447

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

110 Polaris Pkwy Ste 210
Westerville, OH 43082-8070

Mailing address

PO Box 90368
Nashville, TN 37209-0368
Phone (615) 921-4447

Other names 1

  • Vertava Health Outpatient Ohio - Westerville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vertava Health Outpatient Ohio LLC4 organizations share this tax ID, including this one
Part of
Vertava Health Outpatient Ohio LLC

Other organizations with this tax ID 3

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

Locations

470 Olde Worthington Rd
Ste 100
Westerville, OH 43082

110 Polaris Pkwy
Ste 210
Westerville, OH 43082
Phone (614) 964-1622

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631577600000",
    "number": "1780273433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90368",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372090368",
            "telephone_number": "615-921-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 POLARIS PKWY STE 210",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828070",
            "telephone_number": "614-964-1622",
            "fax_number": "614-964-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERTAVA HEALTH OUTPATIENT OHIO LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VERTAVA HEALTH OUTPATIENT OHIO LLC",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SR DIRECTOR",
        "authorized_official_telephone_number": "615-921-4447"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vertava Health Outpatient Ohio - Westerville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vertava Health Outpatient Ohio - Westerville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westerville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; 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.