NPIMap

Organization Active NPI

Boundless Behavioral Health, Inc.

  • Rehabilitation Clinic/Center
  • Worthington, OH
National Provider Identifier
1982852299
Registry record updated Dec 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
003460 Issued in OH
Legal business name
BOUNDLESS BEHAVIORAL HEALTH, INC.
Practice address
445 E Dublin Granville Rd
Building G
Worthington, OH 43085-3192
Phone
(614) 436-4837
Fax
(614) 436-8704
NPI assigned
Aug 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2020

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

Authorized official

Name
Michelle Barner
Title
Reimbursement Manager
Phone
(614) 844-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X 003460 OH Primary

Addresses

Primary practice location

445 E Dublin Granville Rd
Building G
Worthington, OH 43085-3192

Mailing address

445 E Dublin Granville Rd
Building G
Worthington, OH 43085-3192
Phone (614) 436-4837

Other identifiers 1

IdentifierTypeStateIssuer
2357837MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Boundless Behavioral Health Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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": "1219968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1982852299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "address_2": "BUILDING G",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-436-4837",
            "fax_number": "614-436-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "address_2": "BUILDING G",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-436-4837",
            "fax_number": "614-436-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUNDLESS BEHAVIORAL HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-29",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "BARNER",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "REIMBURSEMENT MANAGER",
        "authorized_official_telephone_number": "614-844-3800"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "OH",
            "license": "003460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.