Amy Caroline Brinda, APRN-CNP, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.0033974 Issued in OH

Practice address

5946 Heritage Lakes Dr
Hilliard, OH 43026-7618

Phone

(614) 716-9510

NPI assigned

Jun 14, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Amy Caroline Azbell Former name

Medicare fee-for-service enrollment

Enrolled in OH

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boulder Care Provider Group PAGroup PAC ID 6901217447, 115 clinicians

Keystone Mental Health, IncGroup PAC ID 9234417379, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Keystone Mental Health, Inc.

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1538618715
  Medicare reassignment Care Compare group NPD
• Boulder Care Provider Group PA

  • Addiction Medicine (Family Medicine) Physician
  • Portland, OR
  • NPI 1649838590

  OH

  Medicare reassignment Care Compare group NPD
• Keystone Psychiatry, Inc.

  • Psychiatry Physician
  • Dublin, OH
  • NPI 1720508146
  NPD (past)

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1083398481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5946 HERITAGE LAKES DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267618",
            "telephone_number": "614-716-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5946 HERITAGE LAKES DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267618",
            "telephone_number": "614-716-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINDA",
        "first_name": "AMY",
        "middle_name": "CAROLINE",
        "credential": "APRN-CNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0033974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "AZBELL",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brian F. Griffin MD, Inc
• Brian Murray Chiropractic, Inc.
• Briceland-Kolp & Willmann Dental LLC
• Lisa Briceland-Kolp, D.D.S.
• Tara L. Briggeman, APRN.CNP
• Bringing Clarity Counseling, Coaching, and Consulting LLC
• Beth Brooks, PT
• Christina R Brooks, APRN-CNP
• Bonnie Brown, D.D.S.
• Erika Brown

• Psychiatric/Mental Health Nurse Practitioner in Hilliard, OH
• Providers in Hilliard, 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 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.