Momentum Behavioral Health Group LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MOMENTUM BEHAVIORAL HEALTH GROUP LLC

Practice address

3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175

Phone

(812) 221-1186

Fax

(949) 882-0452

NPI assigned

Feb 7, 2026

Last updated

Feb 11, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kirsten Bailey Dericks, PA-CNPI 1689353930

Title

Provider

Phone

(812) 221-1186

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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.

• Kirsten Bailey Dericks, PA-C

  • Physician Assistant
  • New Albany, IN
  • NPI 1689353930

  Medical

  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Simmons

  • Psychiatric/Mental Health Nurse Practitioner
  • New Albany, IN
  • NPI 1467100875
  Medicare reassignment Care Compare group NPD
• Natalie Michelle Stone, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New Albany, IN
  • NPI 1588376396
  Medicare reassignment Care Compare group NPD
• Susan Castro, LSW

  • Social Worker
  • New Albany, IN
  • NPI 1952112112
  NPD (past)

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

{
    "created_epoch": "1770422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1538010236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 CHARLESTOWN RD",
            "address_2": "PMB #110",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471508513",
            "telephone_number": "812-221-1186",
            "fax_number": "949-882-0452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 GRANT LINE RD STE 15",
            "city": "NEW ALBANY",
            "state": "IN",
            "postal_code": "471502175",
            "telephone_number": "812-221-1186",
            "fax_number": "949-882-0452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM BEHAVIORAL HEALTH GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-07",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "DERICKS",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_middle_name": "BAILEY",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "812-221-1186",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nana J Mitchell
• Sarah Elizabeth Mittelstadt
• Benjamin Moberly, MD
• Mana Moghadamfalahi, M.D.
• Dost Mohammed, M.D.
• Tara Lee Monchilovich
• Robinson G Monda, PHARM.D
• Hannah Money
• Marlon Jose Montenegro, CSFA
• Kevin Mooney, DPT

• Psychiatric/Mental Health Nurse Practitioner in New Albany, IN
• Providers in New Albany, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.