Individual provider Active NPI

Souhaila Rtoubi

  • Psychiatric/Mental Health Nurse Practitioner
  • Hilliard, OH
National Provider Identifier
1699411926
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0037045 Issued in OH
Practice address
5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone
(740) 201-6021
NPI assigned
May 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0037045 OH Primary

Addresses

Primary practice location

5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287

Mailing address

5551 Hilliard Rome Office Park
Hilliard, OH 43026-7287
Phone (740) 201-6021

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
I20241121001419 OH Practitioner - Nurse Practitioner 7618402165 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0037045OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Services and TMS Center LLC Psychiatric/Mental Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

5551 Hilliard Rome Office Park
Hilliard, OH 43026
Phone (614) 850-0500

109 N Broad St
Ste 301
Lancaster, OH 43130
Phone (740) 243-0247

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": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1699411926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5551 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287",
            "telephone_number": "740-201-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5551 HILLIARD ROME OFFICE PARK",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267287",
            "telephone_number": "740-201-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RTOUBI",
        "first_name": "SOUHAILA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0037045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilliard, OH

Sources for this page

Verify at the official NPI Registry.