Provider Demographics
NPI:1639064868
Name:SYPHAX, JAMES STEVEN JR (CDCA)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:STEVEN
Last Name:SYPHAX
Suffix:JR
Gender:M
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:953 CASSINI DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43240-2208
Mailing Address - Country:US
Mailing Address - Phone:513-795-2333
Mailing Address - Fax:
Practice Address - Street 1:953 CASSINI DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43240-2208
Practice Address - Country:US
Practice Address - Phone:513-795-2333
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-10
Last Update Date:2025-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCDCA.140110101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)