NPIMap

Organization Active NPI

Northwoods Clinic, LLC

  • Child & Adolescent Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1841698669
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
34.005463 Issued in OH
Legal business name
NORTHWOODS CLINIC, LLC
Practice address
92 Northwoods Blvd Ste C1
Columbus, OH 43235-4720
Phone
(614) 841-9763
Fax
(614) 846-1034
NPI assigned
Dec 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Dr. Dale Robert Richards, D.O.NPI 1497753370
Title
Principal/Owner
Phone
(614) 841-9763

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P0804X 34.005463 OH Primary

Addresses

Primary practice location

92 Northwoods Blvd Ste C1
Columbus, OH 43235-4720

Mailing address

92 Northwoods Blvd Ste C1
Columbus, OH 43235-4720
Phone (614) 841-9763

National Provider Directory

National Provider Directory

Locations

92 Northwoods Blvd
Ste C1
Columbus, OH 43235
Phone (614) 681-1462

92 Northwoods Blvd
Ste C2
Columbus, OH 43235
Phone (614) 214-1631

163 N Sandusky St
Ste 206
Delaware, OH 43015
Phone (419) 688-1552

500 W Wilson Bridge Rd
Ste 240
Worthington, OH 43085
Phone (614) 619-2259

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1841698669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763",
            "fax_number": "614-846-1034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 NORTHWOODS BLVD STE C1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354720",
            "telephone_number": "614-841-9763",
            "fax_number": "614-846-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWOODS CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRINCIPAL/OWNER",
        "authorized_official_telephone_number": "614-841-9763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "34.005463",
            "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 Nov 16, 2023; 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.