FORUM OHIO, LLC (NPI# 1881059061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881059061 |
| Entity Type | Organization |
| Organization Name | FORUM OHIO, LLC |
| Practice Address |
20 S 3rd St Suite 210 Columbus OH 43215-4206 |
| Mailing Address |
7440 Rolling Ridge Way Westerville OH 43082-8933 |
| Practice Telephone | 6143099727 |
| Practice Fax Number | 6148956801 |
| Mailing Telephone | 6143099727 |
| Mailing Fax Number | 6148956801 |
| Enumeration Date | 2015-12-15 |
| Last Update Date | 2015-12-15 |
| Authorized Official Name | DR. BOB STINSON (CO-OWNER) |
| Authorized Official Telephone | 6143099727 |
| Authorized Official Credential | PSYD JD LICDC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
20 S 3RD ST SUITE 210 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275157075 | Pdi Health Oh LLC | Clinic/Center | 20 S 3rd St, Columbus, OH 43215-4206 | 2020-06-08 |
| 1801410618 | Pdi Health Oh LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 20 S 3rd St, Columbus, OH 43215-4206 | 2020-06-08 |
| 1740814722 | Brittany Eliene Bochard | Behavioral Analyst | 20 S 3rd St, Columbus, OH 43215-4206 | 2020-02-27 |
| 1417407560 | Neurorehab Associates of Ohio, LLC | Psychologist | 20 S 3rd St, Suite 210, Columbus, OH 43215-4206 | 2016-10-12 |
| 1831540830 | Leroy Johnson | Registered Nurse | 20 S 3rd St, 210, Columbus, OH 43215-4206 | 2016-06-30 |
| 1578919981 | Academic and Behavioral Learning Enrichment | Community/Behavioral Health | 20 S 3rd St, Suite 210, Columbus, OH 43215-4206 | 2016-05-05 |
| 1023434990 | Central Ohio Youth Advocacy Program | Case Management | 20 S 3rd St, 210, Columbus, OH 43215-4206 | 2014-03-14 |
| 1174949259 | Anthony Wade Pullen Jr. | Counselor | 20 S 3rd St, Suite 210, Columbus, OH 43215-4206 | 2014-03-12 |
| 1467661579 | Jeremy D Kaufman | Psychologist | 20 S 3rd St, Ste. 210, Columbus, OH 43215-4206 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1235761552 | Columbus Medical Center, LLC | Clinic/Center | 6100 E Main St Ste 102, Columbus, OH 43213-3399 | 2020-02-05 |
| 1750927166 | G and B Medical LLC | Clinic/Center | 2001-12 South Lumpkin Rd Suite 12, Columbus, GA 31903-3190 | 2019-11-20 |
| 1356984199 | Columbus Neighborhood Health Center, Inc. Dba Primaryone Health | Clinic/Center | 730 W Rich St, Columbus, OH 43222-1620 | 2019-10-24 |
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| 1356991483 | Columbus Neighborhood Health Center, Inc | Clinic/Center | 720 E Broad St Ste 100, Columbus, OH 43215-3989 | 2019-09-20 |
| 1548774532 | Cerner Health Connections, Inc | Clinic/Center | 6220 Inwood Dr, Columbus, IN 47201-2829 | 2017-11-29 |
| 1609387943 | Workplace Health Services, LLC | Clinic/Center | 4010 W Goeller Blvd Ste A, Columbus, IN 47201-8312 | 2017-10-13 |
| 1043738198 | Mid Ohio Tms LLC | Clinic/Center | 4520 Josephus Ln Ste B, Columbus, OH 43227-1243 | 2017-09-08 |
| 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.