Fairborn Mental Health LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.18073 Issued in OH

Legal business name

FAIRBORN MENTAL HEALTH LLC

Practice address

323 N Broad St
Fairborn, OH 45324-4934

Phone

(937) 318-8103

Fax

(937) 867-5268

NPI assigned

Mar 30, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Sheila R Dunn, APRN

Title

Owner

Phone

(937) 768-6867

Specialties & licenses 1

Addresses

Other names 1

• Fairborn Mental Health Doing business as

Locations

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

{
    "created_epoch": "1522368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522368000000",
    "number": "1669978656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244934",
            "telephone_number": "937-318-8103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453244934",
            "telephone_number": "937-318-8103",
            "fax_number": "937-867-5268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRBORN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-30",
        "last_updated": "2018-03-30",
        "status": "A",
        "authorized_official_last_name": "DUNN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-768-6867",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.18073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairborn Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Fairborn Alf Operations LLC
• Fairborn City School District
• Fairborn Family Practice Assoc
• Fairborn Hearing Aid Center
• Fairborn Mental Health LLC
• Fairborn Mental Health LLC
• Katharine Fanizzi
• Tawni Fannin
• Lesley Faulconer
• Andrew Feight

• Psychiatric/Mental Health Nurse Practitioner in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.