DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES
NPI 1174670285
Intermediate Care Facility, Intellectual Disabilities in Columbus, OH

Active since January 04, 2007
1601 W BROAD ST, COLUMBUS, OH 43222(614) 272-0509(614) 272-1054 Get Directions Write a Review

NPPES record last updated: December 5, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Department Of Mental Retardation And Developmental Disabilities NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES (NPI 1174670285) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Columbus, Ohio and active in the NPI registry since January 2007. The organization lists D Michael Snow, Superintendent, as its authorized official.

NPPES Registry Identity

NPI1174670285
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameDEPARTMENT OF MENTAL RETARDATION AND DEVELOPMENTAL DISABILITIES
Location Address1601 W BROAD STColumbus, OH 43222-1054
Mailing Address30 E Broad StColumbus, OH 43215-3414 · (614) 466-1970
Fax(614) 272-1054
Organization SubpartNo
Authorized OfficialD Michael SnowSuperintendent · (614) 272-0509
Enumeration DateJanuary 4, 2007
Last NPPES UpdateDecember 5, 2008
✔ NPI 1174670285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
License✔ Licensed in OH · 2514097
Definition
An intermediate care facility providing services for individuals with intellectual disabilities.
Also ListedIntermediate Care Facility, Mental IllnessTaxonomy 310500000X · License 2514097 (OH)
Also ListedResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesTaxonomy 320600000X · License 2514097 (OH)
1601 W BROAD ST, Columbus, OH 43222

Other Identifiers 2

Medicare PIN9333787OH
Medicaid2438080OH

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Department Of Mental Retardation And Developmental Disabilities is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

262

Medicare enrollment records show 262 clinicians reassign Medicare billing to Department Of Mental Retardation And Developmental Disabilities, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 41 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 15

Psychiatry137
Clinical Psychologist42
Nurse Practitioner28
Internal Medicine16
Family Practice13
Clinical Social Worker6
Neurology4
Podiatry4
7 other specialties12

Nearest to this location (20)

See all 262
Certified Clinical Nurse Specialist (CNS)
NPI 1083257604
1601 W BROAD ST
Columbus, OH 43222
(614) 272-3115
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1104864891
1601 W BROAD ST
Columbus, OH 43222
(614) 205-4596
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1841279395
1601 W BROAD ST
Columbus, OH 43222
(614) 272-0509
✔ PECOSSame address
Clinical Social Worker
NPI 1053780890
1810 SULLIVANT AVE
Columbus, OH 43222
(614) 752-0333
✔ PECOS0.3 mi
Clinical Social Worker
NPI 1518630672
1810 SULLIVANT AVE
Columbus, OH 43222
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.3 mi
Clinical Psychologist
NPI 1013248384
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.7 mi
Clinical Psychologist
NPI 1699963595
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
Clinical Psychologist
NPI 1407954423
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1427292903
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.8 mi
Clinical Psychologist
NPI 1427401660
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
Psychiatry
NPI 1730393125
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
General Practice
NPI 1649361411
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1306143722
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
Clinical Psychologist
NPI 1417363805
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1508966680
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1750706974
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.8 mi
Psychiatry
NPI 1942324728
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS0.8 mi
Optometry
NPI 1093147845
1160 W BROAD ST
Columbus, OH 43222
(614) 274-1455
✔ PECOS✔ Accepts Medicare0.8 mi
Internal Medicine
NPI 1538487343
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.9 mi
Psychiatry
NPI 1083291793
2200 W BROAD ST
Columbus, OH 43223
(614) 752-0333
✔ PECOS✔ Accepts Medicare0.9 mi
See all 262 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Department Of Mental Retardation And Developmental Disabilities's NPI number?

The NPI number for Department Of Mental Retardation And Developmental Disabilities is 1174670285. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Department Of Mental Retardation And Developmental Disabilities located?

Department Of Mental Retardation And Developmental Disabilities is located at 1601 W Broad St, Columbus, OH 43222. The listed phone number is (614) 272-0509.

What is Department Of Mental Retardation And Developmental Disabilities's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

Is Department Of Mental Retardation And Developmental Disabilities enrolled in Medicare?

Yes. Department Of Mental Retardation And Developmental Disabilities is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Department Of Mental Retardation And Developmental Disabilities?

According to the CMS Revalidation Reassignment List (October 2026 release), 262 clinicians in 15 Medicare specialties reassign their Medicare billing to Department Of Mental Retardation And Developmental Disabilities. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Psychiatry (137), Clinical Psychologist (42) and Nurse Practitioner (28). Of these, 3 practice at this address and 41 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Department Of Mental Retardation And Developmental Disabilities was last updated on December 5, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.