Michele Lynn Chung, PMHNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Fairfield, OH
NPI 1194402271 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1194402271
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- APRN.CNP.0034274 (OH)
- Practice address
- 5108 Sandy LN
Fairfield, OH 45014-2738 - Phone
- (513) 834-7063
- NPI assigned
- Jun 30, 2023
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231004001994 | OH | Practitioner - Nurse Practitioner | 9931554326 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0034274 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brightview LLC | Current |
Accepting new patients | |
| Brightview LLC | Current |
Accepting new patients | |
| Brightview, LLC | Current | Accepting new patients | |
| L&J Healthcare, LLC | Current |
Accepting new patients | |
| L&J Healthcare Dba Adams Recovery Center, LLC | Past |
Accepting new patients |
Locations
1100 Hospital Dr
Batavia, OH 45103
Phone (513) 732-6001
6527 Colerain Ave
Cincinnati, OH 45239
Phone (513) 385-5000
4600 Montgomery Rd
Ste 400
Cincinnati, OH 45212
Phone (513) 873-1269
446 Morgan St
Cincinnati, OH 45206
Phone (513) 834-0763
5108 Sandy Ln
Fairfield, OH 45014
Phone (513) 234-5959
421 Home St
Georgetown, OH 45121
Phone (937) 378-7510
4483 US N 42
Mason, OH 45040
Phone (513) 536-0050
1405 11th St
Portsmouth, OH 45662
Phone (740) 354-7718
485 W Main St
Wilmington, OH 45177
Phone (866) 656-6514
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | APRN.CNP.0034274 | OH | Yes |
Addresses
Primary practice location
5108 Sandy LN
Fairfield, OH 45014-2738
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Other practice location 1
1569 State Route 28
Loveland, OH 45140-8429
Phone (513) 575-0968
Other names
- Ms. Michele Chung
Other providers in Fairfield, OH
- Esineya N Chigaga
- Lindsey Danielle Childs
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- Imran H. Chowdhury
- Christopher French DDS, Inc
- Cincinnati Center for Autism
- Cincinnati Comprehensive Pain Center LLC
- Cincinnati Hematology-Oncology, Inc
- Cincy Care, Inc
- City of Fairfield
All providers in Fairfield, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.