Ally Mental Health Services, LLC

Key facts

NPI

1619748878

Entity type

Organization (NPI type 2)

Primary specialty

Psychiatry Physician 2084P0800X

Legal business name

ALLY MENTAL HEALTH SERVICES, LLC

Practice address

7541 Mentor Ave
Suites A103 & A104
Mentor, OH 44060-5431

Phone

(440) 622-3728

NPI assigned

Jan 15, 2024

Organization subpart

No

Authorized official

Name

Christina Anderson

Title

Member

Phone

(440) 457-1112

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Ann Sanders, APRN-BC Psychiatric/Mental Health Nurse Practitioner · Cleveland, OH · NPI 1760762405
  Medicare reassignment Care Compare group NPD OH
• Anna Gray, PA-C Physician Assistant · Mentor, OH · NPI 1932609161
  Medicare reassignment Care Compare group OH

Medicare participation

Medicare fee-for-service enrollment

Enrolled in OH

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2025.

{
    "created_epoch": "1705276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1619748878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7541 MENTOR AVE STE A103",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605431",
            "telephone_number": "440-457-1112",
            "fax_number": "440-457-1112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7541 MENTOR AVE",
            "address_2": "SUITES A103 & A104",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440605431",
            "telephone_number": "440-622-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLY MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-15",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "440-457-1112"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Mentor, OH · Psychiatry Physician in Ohio