Royal Therapeutics Psych LTD.

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ROYAL THERAPEUTICS PSYCH LTD.

Practice address

16 N Main St
West Alexandria, OH 45381-1191

Phone

(513) 416-3206

Fax

(517) 210-0032

NPI assigned

May 16, 2022

Last updated

Jan 9, 2023By 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

Nichole McCoy, APRN-CNP, PMHNP-BC

Title

Owner

Phone

(513) 416-3206

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1652659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673222400000",
    "number": "1104563600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 QUAIL HOLLOW DR",
            "city": "BROOKVILLE",
            "state": "OH",
            "postal_code": "453094608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 N MAIN ST",
            "city": "WEST ALEXANDRIA",
            "state": "OH",
            "postal_code": "453811191",
            "telephone_number": "513-416-3206",
            "fax_number": "517-210-0032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL THERAPEUTICS PSYCH LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-16",
        "last_updated": "2023-01-09",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "NICHOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-416-3206",
        "authorized_official_credential": "APRN-CNP,  PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1710648480",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Admin@royaltherapeutics.com",
            "affiliation": "N",
            "endpointDescription": "Google suite secured email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1313 N Barron St",
            "city": "Eaton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "453201015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in West Alexandria, OH
• Providers in West Alexandria, 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 Jan 9, 2023; 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.