Provider Demographics
NPI:1225841687
Name:RADICALLY OPEN CONNECTIONS, LLC
Entity type:Organization
Organization Name:RADICALLY OPEN CONNECTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NATHAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:TOMCIK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:614-301-3289
Mailing Address - Street 1:5151 REED RD STE 211A
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-2594
Mailing Address - Country:US
Mailing Address - Phone:614-301-3289
Mailing Address - Fax:
Practice Address - Street 1:5151 REED RD STE 211A
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-2594
Practice Address - Country:US
Practice Address - Phone:614-301-3289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-29
Last Update Date:2025-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty