Organization Active NPI

Elevate Behavior Health LLC

  • Child & Family Psychiatric/Mental Health Clinical Nurse Specialist
  • Powell, OH
National Provider Identifier
1144028812
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0810X
Legal business name
ELEVATE BEHAVIOR HEALTH LLC
Practice address
8719 Edgerton Dr
Powell, OH 43065-8528
Phone
(614) 843-9945
NPI assigned
Mar 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Fardowsa Sheikh, CNPNPI 1316725617
Title
CNP/Owner
Phone
(614) 843-9945

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Family Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0810X Primary

Addresses

Primary practice location

8719 Edgerton Dr
Powell, OH 43065-8528

Mailing address

2783 Martin Rd Ste 205
Dublin, OH 43017-2096
Phone (614) 843-9945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250320001908 OH Part B Supplier - Clinic/Group Practice 0345762266 Receives reassigned benefits from 1 practitioner
Practice locations: Dublin, OH

National Provider Directory

National Provider Directory

Locations

2783 Martin Rd
Dublin, OH 43017
Phone (614) 843-9945

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": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1144028812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2783 MARTIN RD STE 205",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172096",
            "telephone_number": "614-843-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8719 EDGERTON DR",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430658528",
            "telephone_number": "614-843-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATE BEHAVIOR HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "FARDOWSA",
        "authorized_official_title_or_position": "CNP/OWNER",
        "authorized_official_telephone_number": "614-843-9945",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "364SP0810X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.