Organization Active NPI

Allied Mental Health LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Dublin, OH
National Provider Identifier
1871965046
Registry record updated Aug 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
COA09752NP Issued in OH
Legal business name
ALLIED MENTAL HEALTH LLC
Practice address
6500 Emerald Pkwy
100
Dublin, OH 43016-6235
Phone
(614) 944-5141
Fax
(614) 944-5142
NPI assigned
Oct 27, 2015
Last updated
Aug 3, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2016

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

Authorized official

Name
Christy Campbell, NP
Title
Owner
Phone
(614) 944-5141

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X COA09752NP OH Primary

Addresses

Primary practice location

6500 Emerald Pkwy
100
Dublin, OH 43016-6235

Mailing address

6500 Emerald Pkwy
100
Dublin, OH 43016-6235
Phone (614) 944-5141

Other identifiers 1

IdentifierTypeStateIssuer
0158443MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151202002303 OH Part B Supplier - Clinic/Group Practice 3476853185 Receives reassigned benefits from 1 practitioner
Practice locations: Hilliard, OH

National Provider Directory

National Provider Directory

Locations

6500 Emerald Pkwy
Ste 100
Dublin, OH 43016
Phone (419) 680-2423

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470182400000",
    "number": "1871965046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY",
            "address_2": "100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166235",
            "telephone_number": "614-944-5141",
            "fax_number": "614-944-5142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 EMERALD PKWY",
            "address_2": "100",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430166235",
            "telephone_number": "614-944-5141",
            "fax_number": "614-944-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-27",
        "last_updated": "2016-08-03",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "614-944-5141",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "COA09752NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0158443",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.