Individual provider Active NPI

Stephen McAllister, APRN-NP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Reynoldsburg, OH
National Provider Identifier
1790133890
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0029225 Issued in OH
Practice address
2321 Taylor Park Dr # 1109
Reynoldsburg, OH 43068-8052
Phone
(614) 595-2077
Fax
(949) 543-2708
NPI assigned
May 31, 2016
Last updated
Jan 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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 APRN.CNP.0029225 OH Primary
Registered Nurse 163W00000X RN.357376 OH

Addresses

Primary practice location

2321 Taylor Park Dr # 1109
Reynoldsburg, OH 43068-8052

Mailing address

2321 Taylor Park Dr # 1109
Reynoldsburg, OH 43068-8052
Phone (614) 595-2077

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
I20210921003039 OH Practitioner - Nurse Practitioner 6800293606 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McAllister Psychiatric ServicesGroup PAC ID 6204201452, 3 clinicians

Practice addresses (Care Compare)

13234 Durham Cir
Pickerington, OH 43147-8330
Phone (614) 276-2273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN.357376OHMDRegistered Nurse
APRN.CNP.0029225OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Riveon Mental Health and Recovery CurrentSince May 9, 2023 Accepting new patients
McAllister Psychiatric Services CurrentSince Jan 23, 2023 Accepting new patients
Riveon Mental Health and Recovery CurrentSince May 9, 2023 Accepting new patients
Mental Health Specialty Group PA CurrentSince May 1, 2025 Accepting new patients
Riveon Mental Health and Recovery Current Accepting new patients

Locations

800 N High St
Columbus, OH 43215
Phone (631) 540-8225

6140 S Broadway
Lorain, OH 44053
Phone (440) 233-7232

2321 Taylor Park Dr
Reynoldsburg, OH 43068
Phone (614) 595-2077

Organizations & group practices 5

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737072000000",
    "number": "1790133890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2321 TAYLOR PARK DR # 1109",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-595-2077",
            "fax_number": "949-543-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2321 TAYLOR PARK DR # 1109",
            "city": "REYNOLDSBURG",
            "state": "OH",
            "postal_code": "430688052",
            "telephone_number": "614-595-2077",
            "fax_number": "949-543-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "APRN-NP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0029225",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.357376",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reynoldsburg, OH

Sources for this page

Verify at the official NPI Registry.