Organization Active NPI

Probehavioral LLC

  • Psychiatry Physician
  • Huber Heights, OH
National Provider Identifier
1326737826
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
PROBEHAVIORAL LLC
Practice address
6210 Bellefontaine Rd
Huber Heights, OH 45424-4009
Phone
(937) 236-1800
NPI assigned
May 2, 2023
Last updated
May 2, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Dr. Amarjeet Singh Birdi, MDNPI 1023046190
Title
Owner
Phone
(937) 602-1861

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
Psychiatry Physician 2084P0800X NU Primary

Addresses

Primary practice location

6210 Bellefontaine Rd
Huber Heights, OH 45424-4009

Mailing address

10343 Yellow Locust LN
Centerville, OH 45458-9470
Phone (937) 602-1861

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240715002197 OH Part B Supplier - Clinic/Group Practice 2163967167 Receives reassigned benefits from 2 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1326737826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10343 YELLOW LOCUST LN",
            "city": "CENTERVILLE",
            "state": "OH",
            "postal_code": "454589470",
            "telephone_number": "937-602-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 BELLEFONTAINE RD",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "454244009",
            "telephone_number": "937-236-1800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROBEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-02",
        "last_updated": "2023-05-02",
        "certification_date": "2023-04-21",
        "status": "A",
        "authorized_official_last_name": "BIRDI",
        "authorized_official_first_name": "AMARJEET",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-602-1861",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huber Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.