NPIMap

Organization Active NPI

Central Ohio Mental Health

  • Case Management Agency
  • Delaware, OH
National Provider Identifier
1891056479
Registry record updated May 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
S120045 Issued in OH
Legal business name
CENTRAL OHIO MENTAL HEALTH
Practice address
824 Bowtown Rd
Delaware, OH 43015-9661
Phone
(740) 369-7688
Fax
(740) 363-6415
NPI assigned
May 31, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2012

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

Authorized official

Name
Debra M Dornan
Title
Credentialing Specialist
Phone
(740) 368-7834

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X S120045 OH Primary

Addresses

Primary practice location

824 Bowtown Rd
Delaware, OH 43015-9661

Mailing address

824 Bowtown Rd
Delaware, OH 43015-9661

National Provider Directory

National Provider Directory
Tax ID family
Central Ohio Mental Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338422400000",
    "number": "1891056479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 BOWTOWN RD",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430159661",
            "telephone_number": "740-369-7688",
            "fax_number": "740-363-6415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL OHIO MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A",
        "authorized_official_last_name": "DORNAN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "740-368-7834"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": "S120045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delaware, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.