Organization Active NPI

Sirona Mental Wellness, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • West Chester, OH
National Provider Identifier
1437840808
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SIRONA MENTAL WELLNESS, LLC
Practice address
8200 Beckett Park Dr
West Chester, OH 45069-9310
Phone
(513) 991-7007
Fax
(513) 609-4558
NPI assigned
May 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Authorized official

Name
Cathleen McKnightNPI 1174830590
Title
Nurse Practitioner
Phone
(513) 593-6601

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

8200 Beckett Park Dr
West Chester, OH 45069-9310

Mailing address

3587 Lees Ford LN
Hamilton, OH 45011-2103
Phone (513) 593-6601

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240923003320 OH Part B Supplier - Clinic/Group Practice 9234670811 Receives reassigned benefits from 3 practitioners
Practice locations: West Chester, OH

National Provider Directory

National Provider Directory

Locations

6944 Tylersville Rd
West Chester, OH 45069
Phone (513) 991-7007

8200 Beckett Park Dr
West Chester, OH 45069
Phone (240) 434-0963

Practitioners & affiliated clinicians

Practitioners 6

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": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1437840808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3587 LEES FORD LN",
            "city": "HAMILTON",
            "state": "OH",
            "postal_code": "450112103",
            "telephone_number": "513-593-6601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 BECKETT PARK DR",
            "city": "WEST CHESTER",
            "state": "OH",
            "postal_code": "450699310",
            "telephone_number": "513-991-7007",
            "fax_number": "513-609-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIRONA MENTAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MCKNIGHT",
        "authorized_official_first_name": "CATHLEEN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "513-593-6601"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Chester, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.