Organization Active NPI

Youth Forum Inc

  • Public Health or Welfare Agency
  • Columbus, OH
National Provider Identifier
1790749596
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
YOUTH FORUM INC
Practice address
40 Spruce St
Columbus, OH 43215-2204
Phone
(614) 891-2703
NPI assigned
Apr 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Karen Kruzan
Title
Cpa
Phone
(614) 760-8602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

40 Spruce St
Columbus, OH 43215-2204

Mailing address

PO Box 341097
Columbus, OH 43234-1097
Phone (614) 891-2703

National Provider Directory

National Provider Directory

Locations

40 Spruce St
Columbus, OH 43215
Phone (614) 227-6865

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790749596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341097",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432341097",
            "telephone_number": "614-891-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 SPRUCE ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432152204",
            "telephone_number": "614-891-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH FORUM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRUZAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "CPA",
        "authorized_official_telephone_number": "614-760-8602"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.