Stacey Michelle Molle, CNS FNP PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

020975 Issued in OH

Practice address

200 East Campusview Blvd Suite 200
Columbus, OH 43235

Phone

(614) 664-8880

NPI assigned

Dec 13, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Certified Nurse Specialist, Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Global Health Services

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1790670347
  NPD Authorized official
• Psychcare Anywhere LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1639828742

  Psychiatric/Mental Health

  NPD Authorized official
• Care Talk Health FL PA

  • Public Health & General Preventive Medicine Physician
  • Bethesda, MD
  • NPI 1477263077
  NPD
• Lima Memorial Joint Operating Company

  • General Acute Care Hospital
  • Lima, OH
  • NPI 1336144732
  NPD (past)
• Spectrum Clinical Services

  • Multi-Specialty Clinic/Center
  • Columbus, OH
  • NPI 1457097453

  Psychiatric/Mental Health

  NPD (past)
• Mdwatch Ca, PC

  • General Practice Physician
  • San Diego, CA
  • NPI 1275145138
  NPD (past)

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

{
    "created_epoch": "1229126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1902041395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7385 STATE ROUTE 3 # 1050",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430828654",
            "telephone_number": "614-664-8880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 EAST CAMPUSVIEW BLVD SUITE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43235",
            "telephone_number": "614-664-8880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLLE",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "credential": "CNS FNP PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-13",
        "last_updated": "2022-03-01",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "327159",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.020975",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "020975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anisia Molina
• Jamie Molina, DDS
• Kailey Michelle Moll
• Kaitlynn Moll
• Rachel K Moll, LISW
• Krista Mollett
• Lisa Dawn Mollohan, BSN, RN
• Molly Boggs LLC
• Molly Luckner Lisw
• Erinn Molnar

• Psychiatric/Mental Health Nurse Practitioner in Columbus, OH
• Providers in Columbus, 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 Mar 1, 2022; 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.