Individual provider Active NPI

Christina M Hayden, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Willoughby Hills, OH
National Provider Identifier
1053019653
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0032938 Issued in OH
Practice address
34900 Chardon Rd Ste 200
Willoughby Hills, OH 44094-9161
Phone
(440) 951-5600
NPI assigned
Feb 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5018167 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0032938 OH Primary

Addresses

Primary practice location

34900 Chardon Rd Ste 200
Willoughby Hills, OH 44094-9161

Mailing address

34900 Chardon Rd Ste 200
Willoughby Hills, OH 44094-9161
Phone (440) 951-5600

Other practice location 1

14057 US Highway 17
Hampstead, NC 28443-3770
Phone (910) 821-1418

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230630002999 OH Practitioner - Nurse Practitioner 7719346253 Reassigns benefits to 2 organizations
I20230713003330 NC Practitioner - Nurse Practitioner 7719346253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Psychological and Behavioral Consultants LLCGroup PAC ID 0446243760, 595 clinicians

Practice addresses (Care Compare)

34900 Chardon Rd
Suite 200
Willoughby Hills, OH 44094-9161
Phone (440) 951-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5018167NCMDPsychiatric/Mental Health Nurse Practitioner
APRN.CNP.0032938OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Diane Eden, MD & Associates, Inc. CurrentSince Mar 30, 2025 Accepting new patients
Mindfulness-Counseling CurrentSince Jun 1, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC CurrentSince May 26, 2025 Accepting new patients
Coastal Ridge Health Services, PLLC Psychiatric/Mental Health CurrentSince Jun 15, 2023 Accepting new patients

Locations

14057 US Highway 17
Ste 200
Hampstead, NC 28443
Phone (910) 821-1418

3109 Mayfield Rd
Ste 204
Cleveland Hts, OH 44118
Phone (440) 591-4366

8500 Station St
Ste 102
Mentor, OH 44060
Phone (216) 219-0374

9500 Mentor Ave
Ste 220
Mentor, OH 44060
Phone (440) 357-7100

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

13940 Cedar Rd
University Hts, OH 44118
Phone (216) 213-6738

34900 Chardon Rd
Ste 200
Willoughby Hills, OH 44094
Phone (440) 951-5600

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.christinahayden@140094.advancedmd-direct.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1053019653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD STE 200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34900 CHARDON RD STE 200",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440949161",
            "telephone_number": "440-951-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14057 US Highway 17",
            "address_purpose": "LOCATION",
            "city": "Hampstead",
            "state": "NC",
            "postal_code": "284433770",
            "country_code": "US",
            "telephone_number": "910-821-1418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAYDEN",
        "first_name": "CHRISTINA",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5018167",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0032938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

Verify at the official NPI Registry.