Organization Active NPI

Cornerstone Behavioral Health and Addiction Center

  • Psychiatric/Mental Health Nurse Practitioner
  • Pickerington, OH
National Provider Identifier
1053255687
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CORNERSTONE BEHAVIORAL HEALTH AND ADDICTION CENTER
Practice address
483 Pruden Dr
Pickerington, OH 43147-2239
Phone
(614) 745-4031
NPI assigned
Apr 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Emmanuel Enoabane, NP
Title
Owner/Manager
Phone
(614) 745-4031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

483 Pruden Dr
Pickerington, OH 43147-2239

Mailing address

2321 Taylor Park Dr Ste 1143
Reynoldsburg, OH 43068-8052
Phone (614) 745-4031

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1053255687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 TAYLOR PARK DR STE 1143",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-745-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 PRUDEN DR",
            "city": "PICKERINGTON",
            "state": "OH",
            "postal_code": "431472239",
            "telephone_number": "614-745-4031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE BEHAVIORAL HEALTH AND ADDICTION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "ENOABANE",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "614-745-4031",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pickerington, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.