Kairos Integrative Health LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KAIROS INTEGRATIVE HEALTH LLC

Practice address

400 Vestavia Pkwy Ste 406
Vestavia, AL 35216-3763

Phone

(919) 918-0620

NPI assigned

May 29, 2024

Organization subpart

No

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

Authorized official

Name

Mark Merritt, PMHNP, MBANPI 1619596772

Title

Ceo/Pmhnp

Phone

(919) 918-0620

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Mark Austin Merritt, CRNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cary, NC
  • NPI 1619596772
  NPD Authorized official

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

{
    "created_epoch": "1716940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727827200000",
    "number": "1114767100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 N PINE HILL RD",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352171135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 VESTAVIA PKWY STE 406",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352163763",
            "telephone_number": "919-918-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAIROS INTEGRATIVE HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-29",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A",
        "authorized_official_last_name": "MERRITT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO/PMHNP",
        "authorized_official_telephone_number": "919-918-0620",
        "authorized_official_credential": "PMHNP, MBA"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Vestavia, AL
• Providers in Vestavia, AL by specialty
• Psychiatry Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2024; 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.