Fairield Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

FAIRIELD BEHAVIORAL HEALTH LLC

Practice address

5979 E Livingston Ave Ste 201
Columbus, OH 43232-2908

Phone

(614) 377-3391

Fax

(614) 662-1006

NPI assigned

Jun 9, 2021

Last updated

Jun 9, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Tegemah Nkwenti, APRNNPI 1760660112

Title

Ceo/Administrator

Phone

(614) 377-3391

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela Tegemah Nkwenti, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pickerington, OH
  • NPI 1760660112
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623196800000",
    "number": "1043887847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 E LIVINGSTON AVE STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322908",
            "telephone_number": "614-377-3391",
            "fax_number": "614-662-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 E LIVINGSTON AVE STE 201",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432322908",
            "telephone_number": "614-377-3391",
            "fax_number": "614-662-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRIELD BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A",
        "authorized_official_last_name": "NKWENTI",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "TEGEMAH",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "614-377-3391",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Anthony Fair
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• Ene Therese Raig Fairchild, MD, PHD
• Kailey Fairchild
• Fairhands Healthcare Services, LLC (Fairhands Healthcare Services)
• Evan Fairrow
• Fairview Home Health Care
• Fairway Family Physicians Inc
• Mary Beth Fais, AU.D
• Latae Faison

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.