Individual provider Active NPI

Patrice Ann Bellanti, M.D.

  • Psychiatry Physician
  • Dublin, OH
National Provider Identifier
1649413634
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.121378 Issued in OH
Practice address
5060 Bradenton Ave Ste a
Dublin, OH 43017-3511
Phone
(380) 214-1636
Fax
(903) 487-0600
NPI assigned
Apr 7, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35.121378 OH Primary

Addresses

Primary practice location

5060 Bradenton Ave Ste a
Dublin, OH 43017-3511

Mailing address

5060 Bradenton Ave Ste a
Dublin, OH 43017-3511
Phone (380) 214-1636

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250311001647 OH Practitioner - PsychiatryPractitioner - Neurology 7517488224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Neurology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5060 Bradenton Ave
Suite a
Dublin, OH 43017-3511
Phone (380) 214-1636

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Ketamine Health & Wellness Clinics of Ohio LLC Psychiatry CurrentSince Feb 28, 2025 Accepting new patients
Central Ohio Podiatry Group Inc CurrentSince Dec 22, 2024 Accepting new patients

Locations

5060 Bradenton Ave
Ste A
Dublin, OH 43017
Phone (380) 214-1636

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1239062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1649413634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5060 BRADENTON AVE STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173511",
            "telephone_number": "380-214-1636",
            "fax_number": "903-487-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5060 BRADENTON AVE STE A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430173511",
            "telephone_number": "380-214-1636",
            "fax_number": "903-487-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLANTI",
        "first_name": "PATRICE",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-07",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.121378",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.