NPIMap

Organization Active NPI

Northern Kentucky Behavioral, LLC

Doing business as SUN Behavioral Health

  • Psychiatric Hospital
  • Erlanger, KY
National Provider Identifier
1417486325
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NORTHERN KENTUCKY BEHAVIORAL, LLC
Doing business as
SUN Behavioral Health
Practice address
820 Dolwick Drive
Erlanger, KY 41018
Phone
(732) 747-1800
NPI assigned
Jun 6, 2017
Last updated
May 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

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

Authorized official

Name
Tom Rourke
Title
Senior VP for Development
Phone
(972) 467-4461

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric Hospital 283Q00000X Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

820 Dolwick Drive
Erlanger, KY 41018

Mailing address

PO Box 4394
Brick, NJ 08723-0016
Phone (732) 747-1800

Other practice location 1

2335 Sterlington Rd Ste 100
Lexington, KY 40517-3937
Phone (859) 912-7670

Other names 1

  • SUN Behavioral Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20180321001740 KY Part A Provider - Hospital 8527320027 1 other NPI on this enrollment
Practice locations: Carrollton, KY; Erlanger, KY; Lexington, KY; Winchester, KY
O20240105000418 KY Part B Supplier - Clinic/Group Practice 8527320027 Receives reassigned benefits from 2 practitioners
Practice locations: Erlanger, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1417486325. Details of each certification follow.

Hospital certification: CCN 184006

Legal name
NORTHERN KENTUCKY BEHAVIORAL LLC
Doing business as
SUN BEHAVIORAL HEALTH
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
Aug 14, 1978
Last certification
Feb 21, 2020
Beds
197
Ownership / control type
Private (for profit)
Most recent change of ownership
Feb 20, 2018 (3 total)
Organization structure
LLCProprietary
Incorporated
Feb 23, 2015 in DE
Enrollment address
820 Dolwick Dr
Erlanger, KY 41018-2774
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Sun Behavioral HealthCCN 184006 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory
Tax ID family
Northern Kentucky Behavioral LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Sun Kentucky, LLC Organization, Red Bank, NJ LLC, For-profit 5% Or Greater Direct Ownership Interest Apr 20, 2015 100%
Jason Staats Individual Corporate OfficerCeo Apr 17, 2023
Corporate DirectorCeo Apr 17, 2023 100%
W-2 Managing EmployeeCeo Apr 17, 2023 100%

Practitioners & affiliated clinicians

Practitioners 10

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": "1496707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1417486325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4394",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087230016",
            "telephone_number": "732-747-1800",
            "fax_number": "732-747-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 DOLWICK DRIVE",
            "city": "ERLANGER",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "732-747-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2335 Sterlington Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405173937",
            "country_code": "US",
            "telephone_number": "859-912-7670",
            "fax_number": "859-245-4393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTHERN KENTUCKY BEHAVIORAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-06",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "ROURKE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "SENIOR VP FOR DEVELOPMENT",
        "authorized_official_telephone_number": "972-467-4461"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUN Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Erlanger, KY

Sources for this page

Verify at the official NPI Registry.