CUSTOMIZED BEHAVIORAL HEALTHCARE (NPI# 1447786447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447786447 |
| Entity Type | Organization |
| Organization Name | CUSTOMIZED BEHAVIORAL HEALTHCARE |
| Practice Address |
1555 Bethel Rd Suite 204 Columbus OH 43220-2003 |
| Mailing Address |
8842 Crestwater Dr Galloway OH 43119-9470 |
| Practice Telephone | 6143308834 |
| Mailing Telephone | 6143308834 |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |
| Authorized Official Name | DR. ANTHONY LAMONT RIVERS (OWNER) |
| Authorized Official Telephone | 6143308834 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6935 | OH | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | CUSTOMIZED BEHAVIORAL HEALTHCARE, LLC | 8842 Crestwater Drive, Galloway, OH 43119 |
| Street Address |
1555 BETHEL RD SUITE 204 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43220-2003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801838388 | Comprehensive Services, Inc. | Counselor | 1555 Bethel Rd, Bethel Professional Bldg., Columbus, OH 43220-2003 | 2006-06-11 |
| 1558991745 | Susan Elizabeth Sherwood | Dietitian, Registered | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2020-01-16 |
| 1043853526 | Susan E. Sherwood Rdn LLC | Nutritionist | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2019-10-28 |
| 1871006296 | Developmental Associates, LLC | Clinic/Center | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2017-11-07 |
| 1922306638 | Mary Anne Albanese | Counselor | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2011-03-03 |
| 1124269519 | Edwin Stephan Sandor | Counselor | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2009-03-13 |
| 1841443074 | Timothy Tolber | Counselor | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2008-10-31 |
| 1003067042 | Andrea L Goehring | Social Worker | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2008-10-08 |
| 1457517641 | Heather Patricia Mcatee | Counselor | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2008-08-06 |
| 1891820072 | Peggy L. Lucas-flipse | Counselor | 1555 Bethel Rd, Columbus, OH 43220-2003 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558878595 | Rachel Lee Nugen | Nurse Practitioner | 1885 W. Henderson Rd., Upper Arlington, OH 43220 | 2017-12-29 |
| 1285140871 | Sara J Morgan Murphy | Counselor | 5003 Horizons Dr., Suite 110, Columbus, OH 43220 | 2017-12-19 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1205341633 | Sarah Vorhis | Counselor | 5003 Horizons Drive Suite #110, Columbus, OH 43220 | 2017-12-07 |
| 1689187833 | Kimberly J Bonta | Counselor | 5003 Horizons Drive, Suite 110, Columbus, OH 43220 | 2017-11-09 |
| 1508383787 | Morgan Allison Dzurko | Behavior Technician | 5000 Arilington Centere Blv Building 2, Upper Arlington, OH 43220 | 2017-08-28 |
| 1801319504 | Sergei Schneider | Case Manager/Care Coordinator | 1550 Old Henderson Rd. St. 271, Columbus, OH 43220 | 2017-07-25 |
| 1467904391 | Michael James Nordgren | Specialist/Technologist | 535 Irving Schottenstein Dr., Columbus, OH 43220 | 2016-10-26 |
| 1588048250 | Kree Blakeman | Behavioral Analyst | 5000 Arlington Centre Boulevard, Columbus, OH 43220 | 2015-07-13 |
| 1043698699 | Candace Tanoue | Pharmacist | 4530 Kenny Road, Columbus, OH 43220 | 2015-05-15 |
| Find all providers in zip 43220 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285245522 | Epiphany Psychotherapy & Consultation, LLC | Psychologist | 341 S 3rd St Ste 100-344, Columbus, OH 43215-5463 | 2020-08-11 |
| 1275184723 | Reset Button Counseling LLC | Psychologist | 4041 N High St Ste 300l, Columbus, OH 43214-3200 | 2019-09-26 |
| 1376021022 | Deloveh Psychological Services, LLC | Psychologist | 4041 N High St Ste 300f, Columbus, OH 43214-3200 | 2018-08-04 |
| 1235636697 | Lisa Christian | Psychologist | 460 Medical Center Dr Rm 112, Columbus, OH 43210-1229 | 2018-04-11 |
| 1093226581 | Amanda Conn | Psychologist | 454 E Main St Ste 240, Columbus, OH 43215-5380 | 2017-10-24 |
| 1144749441 | Chelsea Kane | Psychologist | 480 Medical Center Dr Rm 2145, Columbus, OH 43210-1229 | 2017-09-18 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1477003143 | Bethel Olentangy Psychological Services | Psychologist | 4949 Olentangy River Road, Columbus, OH 43214 | 2016-10-06 |
| 1417302209 | Kristen Hurley | Psychologist | 2675 Fox Pointe Dr Ste A, Columbus, IN 47203-3391 | 2016-04-28 |
| 1699135392 | Krystal Marie Hernandez-kane | Psychologist | 620 E Broad St, Columbus, OH 43215-4037 | 2016-02-24 |
| Find all providers in COLUMBUS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.