Healing Grace Psychiatry

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

Legal business name

HEALING GRACE PSYCHIATRY

Practice address

10700 Montgomery Rd Ste 216
Montgomery, OH 45242-3260

Phone

(513) 654-6675

Fax

(513) 912-0932

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Mary Theresa Matias Akhtar, MDNPI 1720006760

Title

Owner

Phone

(513) 654-6675

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary T Matias Akhtar, MD

  • Child & Adolescent Psychiatry Physician
  • Montgomery, OH
  • NPI 1720006760
  NPD Authorized official

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1841947363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "952 OLDE STATION CT",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450147646",
            "telephone_number": "513-706-3239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD STE 216",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423260",
            "telephone_number": "513-654-6675",
            "fax_number": "513-912-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GRACE PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "MATIAS AKHTAR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "513-654-6675",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Harris, OTR/L
• Abubaker Ahmed Hassan, MD
• Taylor Hausfeld
• Kelly Gene Hayden, LPCC
• Kristen Leigh Hayhow, CNP
• Health Academy Chiropractic, LLC
• Heart Center Psychology LLC
• Amy Hebert
• Linda Heckelman
• Justin L Henderson, M.D.

• Child & Adolescent Psychiatry Physician in Montgomery, OH
• Providers in Montgomery, 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 19, 2023; 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.