Provider Demographics
NPI:1992322275
Name:GETZ, MADISON
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:
Last Name:GETZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3600 OLENTANGY RIVER ROAD
Mailing Address - Street 2:BUILDING D, SUITE 204
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3470
Mailing Address - Country:US
Mailing Address - Phone:513-289-2612
Mailing Address - Fax:
Practice Address - Street 1:3600 OLENTANGY RIVER ROAD
Practice Address - Street 2:BUILDING D, SUITE 204
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3470
Practice Address - Country:US
Practice Address - Phone:513-289-2612
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-02
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE.2203151101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health