ACCESS BEHAVIORAL LLC
NPI 1629687157
Clinic/Center - Multi-Specialty in Columbus, OH

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

Active since July 30, 2020

4725 PARKWICK DR STE 100, COLUMBUS, OH 43228(614) 655-3354(614) 317-4692 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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NPI Profile Information
Primary Taxonomy
Authorized Official
Other Providers Same Location
Frequently Asked Questions

Organization
Clinic/Center
Multi-Specialty

About ACCESS BEHAVIORAL LLC

This page provides the complete NPI Profile along with additional information for Access Behavioral Llc, a provider established in Columbus, Ohio operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1629687157 assigned on July 2020. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Srinivas Ponneri (Manager)

NPI: 1629687157 Verify this NPI
Provider Name: ACCESS BEHAVIORAL LLC
Entity Type: Organization
Location Address: 4725 PARKWICK DR STE 100 COLUMBUS, OH 43228
Location Phone: (614) 655-3354
Location Fax: (614) 317-4692
Mailing Address: 4725 PARKWICK DR STE 100 COLUMBUS, OH 43228
Mailing Phone: (614) 655-3354
Mailing Fax: (614) 317-4692
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 07-30-2020
Last Update Date: 07-30-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Clinic/Center Multi-Specialty
Taxonomy Code: 261QM1300X
Type: Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: SRINIVAS PONNERI
Authorized Official Title: MANAGER
Authorized Official Phone: (614) 373-4202