Organization Active NPI

Northmont Behavioral Health, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dayton, OH
National Provider Identifier
1366157430
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
NORTHMONT BEHAVIORAL HEALTH, LLC
Practice address
8529 N Dixie Dr Ste 350
Dayton, OH 45414-2476
Phone
(937) 267-1523
Fax
(937) 999-4216
NPI assigned
Jan 23, 2023
Organization subpart
Yes
Parent organization
NORTHMONT BEHAVIORAL HEALTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Tamara Kay Thorn, APRNNPI 1053606152
Title
Aprn
Phone
(937) 239-6967

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
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8529 N Dixie Dr Ste 350
Dayton, OH 45414-2476

Mailing address

8529 N Dixie Dr Ste 350
Dayton, OH 45414-2476
Phone (937) 267-1523

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230512001592 OH Part B Supplier - Clinic/Group Practice 0446616635 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory
Part of
Northmont Behavioral Health

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1366157430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8529 N DIXIE DR STE 350",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142476",
            "telephone_number": "937-267-1523",
            "fax_number": "937-999-4216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8529 N DIXIE DR STE 350",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454142476",
            "telephone_number": "937-267-1523",
            "fax_number": "937-999-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHMONT BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTHMONT BEHAVIORAL HEALTH, LLC",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-05-16",
        "certification_date": "2023-04-22",
        "status": "A",
        "authorized_official_last_name": "THORN",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "937-239-6967",
        "authorized_official_credential": "APRN"
    },
    "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": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.