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:
Health care specialties
| Specialty | Code | License # | 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 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184722126 | NPPES |
| Ohio | MEDICAID | 0355459 |
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