1629174586 NPI number — DR. BARBARA J WARREN PHD APRN BC

Table of content: DR. BARBARA J WARREN PHD APRN BC (NPI 1629174586)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629174586 NPI number — DR. BARBARA J WARREN PHD APRN BC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WARREN
Provider First Name:
BARBARA
Provider Middle Name:
J
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PHD APRN BC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
WARREN
Provider Other First Name:
BARBARA
Provider Other Middle Name:
JONES
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
PHD APRN BC
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1629174586
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
883 TROON TRAIL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WORTHINGTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43085-2929
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-436-0695
Provider Business Mailing Address Fax Number:
614-885-9336

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5151 REED RD
Provider Second Line Business Practice Location Address:
BLDG C SUITE 128 CENTRAL OHIO BEHAVIORAL MEDICINE INC
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-538-8300
Provider Business Practice Location Address Fax Number:
614-538-1656
Provider Enumeration Date:
09/16/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 163WP0809X , with the licence number:  RN 096371 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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