Flourish Health Medical Practice, LTD.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

FLOURISH HEALTH MEDICAL PRACTICE, LTD.

Practice address

470 Olde Worthington Rd Ste 200
Westerville, OH 43082-9127

Phone

(910) 517-0097

NPI assigned

Aug 17, 2023

Organization subpart

No

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

Authorized official

Name

John Haskell

Title

President

Phone

(650) 863-4774

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Tax ID family

Flourish Health Medical Practice LTD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Flourish Health Medical Practice, LTD.

  • Psychiatry Physician
  • Marlinton, WV
  • NPI 1205779618
  NPD tax ID

Locations

Practitioners 2

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

• Lady A.C. Martinez Fernandez, MD

  • Child & Adolescent Psychiatry Physician
  • San Antonio, TX
  • NPI 1821244401

  WV

  Medicare reassignment NPD
• Yavar Moghimi, M.D.

  • Psychiatry Physician
  • Washington, DC
  • NPI 1982879185
  NPD (past)

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745452800000",
    "number": "1669255170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 FALCON NEST CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277138122",
            "telephone_number": "650-863-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 OLDE WORTHINGTON RD STE 200",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430829127",
            "telephone_number": "910-517-0097"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 8th St",
            "address_purpose": "LOCATION",
            "city": "Marlinton",
            "state": "WV",
            "postal_code": "249541031",
            "country_code": "US",
            "telephone_number": "910-517-0097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FLOURISH HEALTH MEDICAL PRACTICE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-04-24",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "HASKELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-863-4774"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Leonard Flood
• Ashley Flores
• Samantha Florez
• Abigale Flory
• Flossdentalstudios
• Shilah Flowers, RBT
• Rayiah Fluellen, BHIA
• Katie Shoe Flynn, PA-C
• Focus Physical Therapy and Sports Medicine
• Augusto Saplala Fojas Jr., DDS

• Child & Adolescent Psychiatry Physician in Westerville, OH
• Providers in Westerville, OH by specialty
• Child & Adolescent Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.

Verify at the official NPI Registry.