NICHOLAS BREITBORDE (NPI# 1225363849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225363849 |
| Entity Type | Individual |
| Full Name | NICHOLAS BREITBORDE |
| Credential | PH.D. |
| Practice Address |
1670 Upham Dr Ste 130 Columbus OH 43210-1250 |
| Practice Telephone | 6142939600 |
| Practice Fax Number | 6142934200 |
| Mailing Telephone | 6142939600 |
| Mailing Fax Number | 6142934200 |
| Enumeration Date | 2009-10-15 |
| Last Update Date | 2017-02-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0000X |
Psychologist Specialization: Family |
7267 | OH | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
4063 | AZ | Behavioral Health & Social Service Providers |
| Street Address |
1670 UPHAM DR STE 130 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210-1250 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243290 | Nicholas Anthony Votolato | Pharmacist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2005-08-26 |
| 1801409958 | Lauren Khazem | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-08-28 |
| 1801404652 | Heather Wastler | Psychologist | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-07-17 |
| 1760001903 | Colleen Elizabeth Waickman | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1240 | 2020-04-08 |
| 1598394355 | Andrew Philip | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-04-03 |
| 1235768326 | Adam Levin | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-04-02 |
| 1477181097 | Mark Allen Fletcher | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-03-30 |
| 1093343618 | Kimberly Nicole Lowder | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210 | 2020-03-30 |
| 1396373817 | Christine Gaby A Philippe | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-03-30 |
| 1336777168 | David Zhang | Student in an Organized Health Care Education/Training Program | 1670 Upham Dr, Columbus, OH 43210-1250 | 2020-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 103TF0000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396870234 | David J Tennenbaum Phd Associates | Psychologist | 5151 Reed Rd, Suite A211, Columbus, OH 43220-2553 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871097675 | Alice M Phelps | Psychologist | 9909 Trapp Ln, Cincinnati, OH 45231-2157 | 2018-03-19 |
| 1598786584 | Thomas Leonard Hustak | Psychologist | 2371 Western Ohio Ave, Lima, OH 45805-3550 | 2006-07-22 |
| 1346884152 | Adelina June Jeffs | Psychologist | 9 N Edwin C Moses Blvd, Dayton, OH 45402-8470 | 2019-11-05 |
| 1972527935 | Frederick Paul Ferri | Psychologist | 2371 Western Ohio Ave, Lima, OH 45805-3550 | 2006-07-26 |
| 1629005202 | Robert Nash Wendt | Psychologist | 3454 Oak Alley Ct, Suite 305, Toledo, OH 43606-1306 | 2006-06-27 |
Please comment or provide details below to improve the information on NICHOLAS BREITBORDE.
| 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.