Nafresha Abuaun Private Practice LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

NAFRESHA ABUAUN PRIVATE PRACTICE LLC

Doing business as

Abuaun MH Private Practice LLC

Practice address

2555 S Dixie Dr Ste 201
Dayton, OH 45409-1532

Phone

(937) 835-4901

Fax

(937) 848-1535

NPI assigned

Dec 20, 2024

Organization subpart

No

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

Authorized official

Name

Nafresha AbuaunNPI 1235783390

Title

Owner

Phone

(937) 835-4901

Specialties & licenses 1

Addresses

Other names 1

• Abuaun MH Private Practice LLC Doing business as

Tax ID family

Abuaun Addiction Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Nafresha Abuaun Private Practice LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
  • NPI 1568270676
  NPD tax ID

Practitioners 1

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

• Nafresha Abuaun, PMHNP-BC, FNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
  • NPI 1235783390
  NPD (past) Authorized official

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1215745328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STANTON DR",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450668632",
            "telephone_number": "937-835-4901",
            "fax_number": "937-848-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 S DIXIE DR STE 201",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454091532",
            "telephone_number": "937-835-4901",
            "fax_number": "937-848-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAFRESHA ABUAUN PRIVATE PRACTICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "ABUAUN",
        "authorized_official_first_name": "NAFRESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-835-4901"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abuaun MH Private Practice LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Myles
• Samantha Mynatt
• Mackenzie L Mynhier
• Tara Nabholz, RN, BSN
• Kelly Cavanaugh Nader
• Nafresha Abuaun Private Practice LLC
• Nafresha Abuaun Private Practice LLC
• Glen Katsuto Nagasawa, M.D.
• Bianca Hyon Naguit, PHARMD
• Susan Nahhas, PMHNP

• Mental Health Clinic/Center (Including Community Mental Health Center) in Dayton, OH
• Providers in Dayton, OH by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.