Richard A Nockowitz, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

OH72394 Issued in OH

Practice address

1800 Allentown Rd
Lima, OH 45805-1873

Phone

(419) 229-0415

Fax

(419) 229-0419

NPI assigned

Oct 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• KND Development 59 LLC

  • Hospitalist Physician
  • Dayton, OH
  • NPI 1992034680

  Multi-Specialty

  Medicare reassignment NPD
• Sun Behavioral Columbus, LLC

  • Psychiatric Hospital
  • Columbus, OH
  • NPI 1477914943

  Multi-Specialty

  Medicare reassignment NPD
• Viaquest Psychiatric & Behavioral Solutions LLC

  • Community/Behavioral Health Agency
  • Dublin, OH
  • NPI 1942451216
  Medicare reassignment
• KND Development 59, LLC

  • Hospitalist Physician
  • Broken Arrow, OK
  • NPI 1922950823

  Multi-Specialty

  NPD
• Healthy Living Treatment, LLC

  • Substance Abuse Rehabilitation Facility
  • West Chester, OH
  • NPI 1174987887
  NPD (past)
• Kindred Hospitals East, LLC

  • Long Term Care Hospital
  • Dayton, OH
  • NPI 1447320676

  Multi-Specialty

  NPD (past)
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732

  Multi-Specialty

  NPD (past)
• Mount Carmel Behavioral Healthcare, LLC

  • Psychiatric Hospital
  • Columbus, OH
  • NPI 1033693569

  Multi-Specialty

  NPD (past)
• Recovery Innovations, Inc

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1679390520

  Multi-Specialty

  NPD (past)

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1245228717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051873",
            "telephone_number": "419-229-0415",
            "fax_number": "419-229-0419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ALLENTOWN RD",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458051873",
            "telephone_number": "419-229-0415",
            "fax_number": "419-229-0419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "284 S State St",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "OH",
            "postal_code": "433023940",
            "country_code": "US",
            "telephone_number": "740-914-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOCKOWITZ",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-10",
        "last_updated": "2023-11-27",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "OH",
            "license": "35.072394",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "OH72394",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027309",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "heather@d1recovery.com",
            "affiliation": "Y",
            "affiliationName": "Day One Integrative Services LLC.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "284 S State St",
            "city": "Marion",
            "state": "OH",
            "country_code": "US",
            "postal_code": "433023940",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tyler Jay Niese, C.N.P.
• Jennifer Fern Niesen, D.O.
• Fnu Nimerta
• Kirmon Charles Nimox III
• Laeticia Nkuibet
• Kayla Marie Nolan, BSW, LSW
• Dionna Noonan, OTR/L
• Ventrelle Noonan
• Kari Norbeck, SLP
• Tiesha Renee Norris, BS

• Psychiatry Physician in Lima, OH
• Providers in Lima, OH by specialty
• Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.