NPIMap

Organization Active NPI

W. Joseph Hambor Lisw-S

  • Adult Mental Health Clinic/Center
  • Pickerington, OH
National Provider Identifier
1972992576
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
I0003808 Issued in OH
Legal business name
W. JOSEPH HAMBOR LISW-S
Practice address
5 W Church St
Pickerington, OH 43147-1210
Phone
(614) 787-3843
Fax
(614) 321-6253
NPI assigned
Jan 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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

Authorized official

Name
Mr. William Joseph Hambor, LISW-SNPI 1639291446
Title
President/Owner
Phone
(614) 787-3843

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X I0003808 OH Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X I0003808 OH

Addresses

Primary practice location

5 W Church St
Pickerington, OH 43147-1210

Mailing address

5 W Church St
Pickerington, OH 43147-1210
Phone (614) 787-3843

Other identifiers 2

IdentifierTypeStateIssuer
9111115MedicaidOH
SW35281OtherMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

5 W Church St
Pickerington, OH 43147
Phone (614) 321-6253

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421712000000",
    "number": "1972992576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 W CHURCH ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471210",
            "telephone_number": "614-787-3843",
            "fax_number": "614-321-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CHURCH ST",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431471210",
            "telephone_number": "614-787-3843",
            "fax_number": "614-321-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W. JOSEPH HAMBOR LISW-S",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-20",
        "last_updated": "2015-01-20",
        "status": "A",
        "authorized_official_last_name": "HAMBOR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "614-787-3843",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "OH",
            "license": "I0003808",
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "I0003808",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9111115",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "SW35281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.