MARYHAVEN INC. – Community/Behavioral Health Agency, NPI 1245290436

MARYHAVEN INC. is a healthcare provider. based in Columbus, Ohio. specializing in Community/Behavioral Health Agency. The organization holds a License No. 1183 (OH). The NPI Number for MARYHAVEN INC. is 1245290436

Main info

Organization
Name
MARYHAVEN INC.
NPI
1245290436
Phone
(614) 324-5402
Address
1791 ALUM CREEK DR
Authorized Official
MR. GREGORY MICHAEL RITTER BILLING/MEDICAL RECORDS ADMINISTRAT LPCC, LICDC-CS
Enumeration Date
23 March 2006
Last Update Date
11 October 2017
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for MARYHAVEN INC.

  • 1791, Alum Creek Drive, Deshler Park, South Columbus, Columbus, Franklin, Ohio, 43207, United States

    COLUMBUS, OH 432071708

    Phone: (614) 324-5402

    Fax: (614) 827-8380

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-05-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20140519001174OClinic/Group PracticeOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43207)

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Reviews

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Frequently asked questions

Is there an official ID for MARYHAVEN INC. in U.S. healthcare records?
The official identifier for MARYHAVEN INC. is NPI 1245290436.
Is there an active status for MARYHAVEN INC.?
For scheduling context, MARYHAVEN INC. is shown as active in the registry.
How would a patient describe MARYHAVEN INC.'s focus?
For MARYHAVEN INC., the primary taxonomy reads as Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Where in Ohio is MARYHAVEN INC. registered?
Use Columbus, Ohio as the headline location for MARYHAVEN INC. here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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