CHRISTOPHER VANDERSON


Address: 49 Ticknor Dr, Columbus, GA 31903-3929
Phone: 7066173132

CHRISTOPHER VANDERSON (NPI# 1285168716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285168716
Entity Type Individual
Full Name CHRISTOPHER VANDERSON
Credential PP
Practice Address 49 Ticknor Dr
Columbus
GA 31903-3929
Mailing Address 2100 Comer Ave
Columbus
GA 31904-8725
Practice Telephone 7066173132
Mailing Telephone 7066173132
Enumeration Date 2017-04-11
Last Update Date 2017-04-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 49 TICKNOR DR
City COLUMBUS
State GA
Zip Code 31903-3929

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1336753466 Push for Recovery, LLC Community/Behavioral Health 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 2020-09-05
1518576693 Unit Seven LLC Community/Behavioral Health 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 2020-07-24
1508481037 Basecamp Recovery LLC Community/Behavioral Health 815 W Broad St Fl 2, Columbus, OH 43222-1464 2020-06-10
1760003420 Community Alliance for Youth and Adults LLC Community/Behavioral Health 2550 Chestnut Oak Way, Columbus, OH 43228-9169 2020-05-04
1659834489 Transcendent Case Management & Consulting, LLC Community/Behavioral Health 3587 Medina Ave, Columbus, OH 43224-3418 2019-04-09
1639634629 Mind Over Matter Counseling Community/Behavioral Health 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 2019-02-05
1902360225 Kara Lynn Mccoy Community/Behavioral Health 4289 Highway 78, Columbus, MT 59019-7493 2019-01-31
1891278321 Everlasting Peace Counseling and Support Services Community/Behavioral Health 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 2018-09-11
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Competitor

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City COLUMBUS
Zip Code 31903

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Dataset Information

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.

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