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Active NPI 1609485143 Organization (Entity Type 2)

Access Behavioral Llc

Clinic/Center - Multi-Specialty • Heath, OH

About Access Behavioral Llc NPI 1609485143 Summary

Access Behavioral Llc is a verified healthcare organization specializing in Clinic/Center - Multi-Specialty operating in Heath, OH. Located at 565 INDUSTRIAL PKWY, this facility provides patient care and medical services under National Provider Identifier (NPI) 1609485143.

Administrative operations and authorized compliance are overseen by Srinivas Ponneri (Manager).

The facility is associated with 17 linked healthcare practitioners providing clinical services.

Facility Location & Contact Primary Location

Facility Address

565 Industrial Pkwy

Heath, OH 430561529

Telephone 7409159350

Fax 7409159351

Authorized Official Information

Authorized Contact Name

Srinivas Ponneri

Title / Role

Manager

Official Telephone

6143734202

Facility Classifications & Specialties

Clinic/Center - Multi-Specialty Primary Taxonomy

NUCC Taxonomy Code: 261QM1300X

Definition to come...

Affiliated Practitioners & Clinicians

Healthcare professionals and specialists practicing at this facility or affiliated group locations

17 Linked

Tracy Pankey , APRN NPI 1043525629

Nurse Practitioner - Psychiatric/Mental Health

West Chester, OH

View Practitioner Profile →

Dr. Jaris Stern , PhD NPI 1063548576

Psychologist

Columbus, OH

View Practitioner Profile →

David Huffman , PMHNP NPI 1063860526

Nurse Practitioner - Psychiatric/Mental Health

Columbus, OH

View Practitioner Profile →

Dr. Chaitanya Bukkapatnam , MD, MBA NPI 1093208647

General Practice

Columbus, OH

View Practitioner Profile →

Dr. Ramalingam Selvarajah , MD NPI 1104912773

Family Medicine - Adult Medicine

London, OH

View Practitioner Profile →

Messeret Tewolde , CNP NPI 1114364668

Nurse Practitioner - Psychiatric/Mental Health

Columbus, OH

View Practitioner Profile →

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events

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NPI Profile Active July 30, 2020

NPI status registered as active in NPPES database

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Updated Practice Location July 30, 2020

Registered at 565 INDUSTRIAL PKWY, HEATH, OH 430561529 (Tel: 7409159350)

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Updated Business Mailing Address July 30, 2020

Registered at 565 INDUSTRIAL PKWY, HEATH, OH 430561529 (Tel: 7409159350)

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Organization / Clinic Name Updated July 30, 2020

Operating as ACCESS BEHAVIORAL LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2020

Clinic/Center

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Initial NPI Registration & Enumeration July 30, 2020

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

Verified patient ratings, healthcare experiences, and facility photos

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NPI Organization Metadata

NPI Number: 1609485143

Entity Type:

Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)

Enumeration Date: July 30, 2020

Last Update: July 30, 2020

Update or Correct Listing

Mailing Address

565 Industrial Pkwy

Heath, OH 430561529

Phone: 7409159350

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.

⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.