Provider Demographics
NPI:1508936204
Name:CENTRAL OHIO BEHAVIORAL MEDICINE INC
Entity Type:Organization
Organization Name:CENTRAL OHIO BEHAVIORAL MEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:PANOS
Authorized Official - Last Name:ZAFIRIDES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-538-8300
Mailing Address - Street 1:5151 REED RD
Mailing Address - Street 2:BLDG C STE 128
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2553
Mailing Address - Country:US
Mailing Address - Phone:614-538-8300
Mailing Address - Fax:614-538-1656
Practice Address - Street 1:5151 REED RD
Practice Address - Street 2:BLDG C STE 128
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2553
Practice Address - Country:US
Practice Address - Phone:614-538-8300
Practice Address - Fax:614-538-1656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty