Active NPI
S & S Behavioral Health, LLC
- Primary Care Clinic/Center
- London, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- S & S BEHAVIORAL HEALTH, LLC
- Practice address
- 1907 E Pittsburg Church Rd
London, KY 40741-9047 - Phone
- (606) 389-5269
- Fax
- (606) 389-5276
- NPI assigned
- Apr 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stephanie Short, PMHNP-BC
- Title
- Owner/Authorized Official
- Phone
- (606) 389-5269
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X |
Addresses
Primary practice location
1907 E Pittsburg Church Rd
London, KY 40741-9047
Mailing address
1907 E Pittsburg Church Rd
London, KY 40741-9047
Phone (606) 389-5269
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220720003672 | KY | Part B Supplier - Clinic/Group Practice | 2163803255 |
Receives reassigned benefits from 5 practitioners 1 other NPI on this enrollment Practice locations: London, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- S S Behavioral Health LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Rural Health Clinic/Center
- London, KY
- NPI 1609634377
Locations
96 Highway 80
Hyden, KY 41749
Phone (606) 672-1414
1501 S Main St
Ste J
London, KY 40741
Interoperability endpoints
- ssbhealth@ssbh.azalea.phimailbox.com
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Rural Health Clinic/Center
- London, KY
- NPI 1609634377
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717372800000",
"number": "1619612231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1907 E PITTSBURG CHURCH RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407419047",
"telephone_number": "606-389-5269",
"fax_number": "606-389-5276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1907 E PITTSBURG CHURCH RD",
"city": "LONDON",
"state": "KY",
"postal_code": "407419047",
"telephone_number": "606-389-5269",
"fax_number": "606-389-5276"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "S & S BEHAVIORAL HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-28",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "606-389-5269",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "364SP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in London, KY
- Rural Mental Health Case Management, LLC
- Rural Mental Health Solutions
- Angela Rush, PHARM D.
- Jeremy Gorman Rush, PHARMD.
- S & S Behavioral Health, LLC
- Saint Joseph Health System Inc
- Saint Joseph Health System Inc
- Saint Joseph Health System Inc
- Saint Joseph Health System Inc.
- Saint Joseph Health System, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.