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BECKETT SPRINGS PHYSICIAN GROUP LLC NPI 1285045922


NPI Information

NPI: 1285045922
Provider Name: BECKETT SPRINGS PHYSICIAN GROUP LLC
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 36D2240449

Address:
8614 SHEPHERD FARM DR
WEST CHESTER, OH
ZIP 45069
Phone: (513) 942-9500
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BECKETT SPRINGS PHYSICIAN GROUP LLC is a psychiatry psychiatry neurology in West Chester, OH. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. BECKETT SPRINGS PHYSICIAN GROUP LLC NPI is 1285045922. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8614 SHEPHERD FARM DR
WEST CHESTER, OH
ZIP 45069-128
Phone: (513) 942-9500
Fax: (513) 714-7374

The provider's authorized official is Gina Warren .
The authorized official title is Director Credentialing & Payor Enro and has the following contact phone number (502) 400-8480.

The CLIA number assigned to this NPI record is 36D2240449 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2014 and was last updated on 10/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LF0000XNurse PractitionerFamilyNo
22084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10103989MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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