Ardent Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN.CNP.021109 Issued in OH

Legal business name

ARDENT PSYCHIATRY LLC

Practice address

776 Peachblow Rd Unit a
Lewis Center, OH 43035-9101

Phone

(614) 398-3559

Fax

(614) 918-8545

NPI assigned

Jul 5, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David Todd Merriman, APRNNPI 1619498680

Title

Psychiatric Nurse Practitioner

Phone

(614) 398-3559

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• David Todd Merriman, CNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lewis Center, OH
  • NPI 1619498680
  NPD Authorized official

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

{
    "created_epoch": "1530748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596153600000",
    "number": "1801382544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 PEACHBLOW RD UNIT A",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359101",
            "telephone_number": "614-398-3559",
            "fax_number": "614-918-8545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 PEACHBLOW RD UNIT A",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359101",
            "telephone_number": "614-398-3559",
            "fax_number": "614-918-8545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARDENT PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-05",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "614-398-3559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.021109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619498680",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Lewis Center, OH
• Providers in Lewis Center, 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 Jul 31, 2020; 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.