Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center Street Community Clinic, Inc

Organization Psychologist · NPI 1609657766

Center Street Community Clinic, Inc is a Psychologist in Marion, Ohio. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

125 Executive Dr Ste 201
Marion, OH 43302-6302
Phone: (740) 387-3087
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 136 W Center St, Marion, OH 43302-3704 — (740) 751-6380

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Psychologist Taxonomy 103T00000X
Clinical Social Worker Taxonomy 1041C0700X
Psychiatry Physician Taxonomy 2084P0800X

Record details

NPI number1609657766
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Audrey Cobb — Cfo · (740) 751-4531
NPI enumeratedOctober 13, 2023
Last updated in NPPESAugust 3, 2026
Certification dateAugust 3, 2026
Mailing address136 W Center St, Marion, OH 43302-3704

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