NPIMap

Organization Active NPI

Access Behavioral LLC

Doing business as Access Health Network

  • Multi-Specialty Clinic/Center
  • Mount Gilead, OH
National Provider Identifier
1871102301
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
ACCESS BEHAVIORAL LLC
Doing business as
Access Health Network
Practice address
528 W Marion Rd Ste C
Mount Gilead, OH 43338-1085
Phone
(419) 947-4560
Fax
(419) 947-2956
NPI assigned
Jul 30, 2020
Last updated
Jul 30, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Authorized official

Name
Srinivas Ponneri
Title
Manager
Phone
(614) 373-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

528 W Marion Rd Ste C
Mount Gilead, OH 43338-1085

Mailing address

528 W Marion Rd Ste C
Mount Gilead, OH 43338-1085
Phone (419) 947-4560

Other names 1

  • Access Health Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Access Behavioral LLC9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

Locations

528 W Marion Rd
Unit C
Mount Gilead, OH 43338
Phone (419) 947-4560

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596067200000",
    "number": "1871102301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "528 W MARION RD STE C",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381085",
            "telephone_number": "419-947-4560",
            "fax_number": "419-947-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "528 W MARION RD STE C",
            "city": "MOUNT GILEAD",
            "state": "OH",
            "postal_code": "433381085",
            "telephone_number": "419-947-4560",
            "fax_number": "419-947-2956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCESS BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A",
        "authorized_official_last_name": "PONNERI",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "614-373-4202"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access Health Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Gilead, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.