Individual provider Active NPI

Laiken Lynn Sundheimer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Canton, OH
National Provider Identifier
1992499198
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0034020 Issued in OH
Practice address
4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776
Phone
(330) 433-1300
NPI assigned
Jun 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0034020 OH Primary

Addresses

Primary practice location

4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776

Mailing address

4368 Dressler Rd NW Ste 103
Canton, OH 44718-2776
Phone (330) 433-1300

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
I20231106002177 OH Practitioner - Nurse Practitioner 1052768504 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034020OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
4Kidhelp Inc CurrentSince Nov 8, 2024 Accepting new patients
Billings Clinic CurrentSince Oct 6, 2024 Accepting new patients

Locations

4368 Dressler Rd NW
Ste 103
Canton, OH 44718
Phone (330) 433-1300

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727654400000",
    "number": "1992499198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182776",
            "telephone_number": "330-433-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4368 DRESSLER RD NW STE 103",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182776",
            "telephone_number": "330-433-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDHEIMER",
        "first_name": "LAIKEN",
        "middle_name": "LYNN",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-08",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.