Individual provider Active NPI

Scott Matthew Galenski, PMHCNS-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Maumee, OH
National Provider Identifier
1376956292
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA15954-NS Issued in OH
Practice address
1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370
Phone
(419) 866-8232
NPI assigned
Jun 9, 2014
Last updated
Feb 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA15954-NS OH Primary

Addresses

Primary practice location

1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370

Mailing address

1627 Henthorne Dr
Suite B
Maumee, OH 43537-1370
Phone (419) 866-8232

Other identifiers 1

IdentifierTypeStateIssuer
1376956292OtherOHNPI

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140922000751 OH Practitioner - Certified Clinical Nurse Specialist (CNS) 5496974693 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Clinical Nurse Specialist (CNS)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Extended Care Specialists, IncGroup PAC ID 2466407713, 295 clinicians

Practice addresses (Care Compare)

3958 Brown Park Dr
Suite D
Hilliard, OH 43026-1160
Phone (260) 483-9081

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
COA15954-NSOHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Aug 19, 2024 Accepting new patients
Eventus Ecs, Inc Nurse Practitioner CurrentSince Dec 12, 2024 Accepting new patients
Extended Care Specialists, Inc Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Miller Psychiatric Services Psychiatric/Mental Health CurrentSince Aug 19, 2024 Accepting new patients
Careline Poh100 LLC CurrentSince Oct 1, 2022 Accepting new patients
Eventus Wholehealth Midwest Inc Nurse Practitioner CurrentSince Aug 1, 2022 Accepting new patients
Curana Health of Ohio CurrentSince Nov 2, 2022 Accepting new patients
Ohio Living Palliative Care Greater Toledo LLC CurrentSince Sep 3, 2021 Accepting new patients
Eventus Ecs - Ohio LLC Nurse Practitioner CurrentSince Oct 1, 2025 Accepting new patients
Prohealth Mobile X-Ray LLC Past Accepting new patients
Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc PastSince Nov 17, 2019 Accepting new patients

Locations

801 Rosehill Rd
Jackson, MI 49202
Phone (517) 212-2008

3239 Jefferson Ave
Ste 1
Cincinnati, OH 45220
Phone (997) 991-9276

4400 Easton Cmns
Ste 125
Columbus, OH 43219
Phone (514) 546-1900

3958 Brown Park Dr
Ste D
Hilliard, OH 43026

3550 Briarfield Blvd
Ste 300
Maumee, OH 43537
Phone (419) 452-2102

904 Issac Sts
Oregon, OH 43616
Phone (419) 691-2483

12611 Eckel Junction Rd
Perrysburg, OH 43551
Phone (419) 491-7150

1730 S Reynolds Rd
Toledo, OH 43614
Phone (419) 701-9809

9200 Worthington Rd
Ste 300
Westerville, OH 43082
Phone (614) 888-7800

5547 Mahoning Ave
Youngstown, OH 44515
Phone (330) 398-6420

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 12

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

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1376956292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1627 HENTHORNE DR",
            "address_2": "SUITE B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "telephone_number": "419-866-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 HENTHORNE DR",
            "address_2": "SUITE B",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435371370",
            "telephone_number": "419-866-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALENSKI",
        "first_name": "SCOTT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "PMHCNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA15954-NS",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376956292",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.