Columbus Traumatic Stress Center

LBN: James P. Reardon
Columbus Traumatic Stress Center is an health care organization with primary practice located at 7550 Pingue Dr , Worthington OH 43085-1714. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. James P. Reardon can be contacted via phone (614) 436-9985, or through Reardon, James P. via phone (614) 436-9985.

Contact Information

Primary practice address
7550 Pingue Dr Worthington OH 43085-1714
Phone: (614) 436-9985
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reardon, James P. PH.D.
Phone: (614) 436-9985

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2564 Ohio
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2564 Ohio
Behavioral Health & Social Service Providers / Forensic 103TF0200X 2564 Ohio
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 2564 Ohio

Profile Details

NPI number 1184722126
LBN Legal business name James P. Reardon
DBA Doing business as Columbus Traumatic Stress Center
Authorized official Reardon, James P. PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2006
Last updated Jun 30th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184722126 NPPES
Ohio MEDICAID 0355459

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