Connecting Hemispheres Behavioral Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CONNECTING HEMISPHERES BEHAVIORAL HEALTH LLC

Practice address

40 W 4TH St Ste 114
Mansfield, OH 44902-1206

Phone

(614) 374-8865

Fax

(949) 695-2511

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Heather Stewart-Modic

Title

NP

Phone

(614) 374-8865

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1245917392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9031",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449049031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W 4TH ST STE 114",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449021206",
            "telephone_number": "614-374-8865",
            "fax_number": "949-695-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTING HEMISPHERES BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "STEWART-MODIC",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "614-374-8865"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Conchel
• Robert Congious
• Kacey D Conlan, LPCC-S
• Autumn Conley-Clark, LPN
• Jason Ray Conley
• Lauren Elise Conrad, MS, CCC-SLP
• Elizabeth Constance, BA
• Constellation Schools: Mansfield Community Elementary
• Constellation Schools: Mansfield Community Middle
• Anna M Cook, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.