Individual provider Active NPI

Evan Silverland, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Worthington, OH
National Provider Identifier
1629622584
Registry record updated Sep 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
025433 Issued in OH
Practice address
445 E Dublin Granville Rd
Worthington, OH 43085-3192
Phone
(614) 436-7837
Fax
(614) 515-5779
NPI assigned
Jul 30, 2019
Last updated
Sep 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 025433 OH Primary
Registered Nurse 163W00000X 448833 OH

Addresses

Primary practice location

445 E Dublin Granville Rd
Worthington, OH 43085-3192

Mailing address

87 Warren St
Columbus, OH 43215-1566
Phone (248) 318-9132

Other practice location 1

900 E Dublin Granville Rd
Columbus, OH 43229-2452
Phone (614) 706-2786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191227000476 OH Practitioner - Nurse Practitioner 6608200654 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cultivate Psychiatry and WellnessGroup PAC ID 0648618025, 7 clinicians

Practice addresses (Care Compare)

4034 N Hampton Dr
Powell, OH 43065-8445
Phone (614) 588-8131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
448833OHMDRegistered Nurse
025433OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cultivate Psychiatry and Wellness Psychiatric/Mental Health CurrentSince Apr 15, 2025 Accepting new patients
Central Ohio Counseling Inc. CurrentSince Mar 1, 2024 Accepting new patients

Locations

4034 N Hampton Dr
Powell, OH 43065
Phone (614) 588-8131

1035 Proprietors Rd
Worthington, OH 43085
Phone (614) 785-1115

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567296000000",
    "number": "1629622584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 WARREN ST",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151566",
            "telephone_number": "248-318-9132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 E DUBLIN GRANVILLE RD",
            "city": "WORTHINGTON",
            "state": "OH",
            "postal_code": "430853192",
            "telephone_number": "614-436-7837",
            "fax_number": "614-515-5779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Dublin Granville Rd",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432292452",
            "country_code": "US",
            "telephone_number": "614-706-2786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILVERLAND",
        "first_name": "EVAN",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-30",
        "last_updated": "2019-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "025433",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "448833",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, OH

Sources for this page

Verify at the official NPI Registry.