Global Wellness Center LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GLOBAL WELLNESS CENTER LLC

Practice address

3350 Cleveland Ave Ste 1964
Columbus, OH 43224-3677

Phone

(614) 588-9830

NPI assigned

Mar 11, 2019

Organization subpart

No

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

Authorized official

Name

Yassin Matan

Title

President

Phone

(614) 588-9830

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Global Wellness Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1215400924

  O20190805003399

  Same enrollment
• Global Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1710445663

  O20190805003399

  Same enrollment

Tax ID family

Global Wellness Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Global Wellness Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1215400924
  NPD tax ID
• Global Wellness Center LLC

  • Clinical Medical Laboratory
  • Columbus, OH
  • NPI 1386102226
  NPD tax ID
• Global Wellness Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1710445663
  NPD tax ID

Locations

Practitioners 3

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

• Tia Denise Carrington, NP-C

  • Psychiatric/Mental Health Nurse Practitioner
  • Columbus, OH
  • NPI 1982135943
  NPD
• Brendan Phillips, LSW

  • Social Worker
  • Westerville, OH
  • NPI 1366934994
  NPD
• Rachel Stile, LISW-S

  • Clinical Social Worker
  • Fairlawn, OH
  • NPI 1245726678
  NPD

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552262400000",
    "number": "1922566876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 TILLER LN STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432312267",
            "telephone_number": "614-588-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 CLEVELAND AVE STE 1964",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432243677",
            "telephone_number": "614-588-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOBAL WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A",
        "authorized_official_last_name": "MATAN",
        "authorized_official_first_name": "YASSIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-588-9830"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Global Wellness Center LLC
• Globalhealth Lead L L C
• Globalhomecare Lead L.L.C.
• Jamie Glodowski
• Gloriage Home Care Agency
• Glory for Life Home Healthcare LLC

• All providers in Columbus, OH
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.