Robert Lee Behrens II, CNP, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Powell, OH
NPI 1619463221 · NPPES record last updated Jul 6, 2018
Key facts
- NPI
- 1619463221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 022486 (OH)
- Practice address
- 9384 Wayne Brown Dr
Powell, OH 43065-7724 - Phone
- (614) 389-6768
- Fax
- (614) 389-6768
- NPI assigned
- Jul 6, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Ohio State University College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Center Street Community Clinic Inc
Practice addresses (Care Compare)
136 W Ctr St
Marion, OH 43302-3704
Phone (740) 751-6380
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180925001868 | OH | Practitioner - Nurse Practitioner | 7416208848 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022486 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Street Community Clinic Inc | Current |
Accepting new patients | |
| Center Street Community Clinic, Inc | Current |
Accepting new patients |
Locations
136 W Center St
Marion, OH 43302
Phone (740) 751-4531
76 S Main St
Mount Gilead, OH 43338
Phone (419) 751-9010
Interoperability endpoints
- robert.behrens.p1@direct.centerstreetclinic.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 022486 | OH | Yes |
Addresses
Primary practice location
9384 Wayne Brown Dr
Powell, OH 43065-7724
Mailing address
9384 Wayne Brown Dr
Powell, OH 43065-7724
Phone (614) 620-4314
Other providers in Powell, OH
- Anthony Bartko
- Michele Anne Basile
- Traci J Beams
- Rebecca Becker
- Anna Beckmeyer
- Gregory Bell
- Kyle Anne Bell
- Tammy Nikki Bellios
- Maria Florencia Belmonte
- Tobi Benfield
All providers in Powell, OH · Psychiatric/Mental Health Nurse Practitioner in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.