MODERN PSYCHIATRY & WELLNESS LLC NPI 1699251553

NPI Information

NPI: 1699251553
Provider Name: MODERN PSYCHIATRY & WELLNESS, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
1910 FAIRGROVE AVE STE E
HAMILTON, OH
ZIP 45011
Phone: (513) 795-7557
Get Directions

MODERN PSYCHIATRY & WELLNESS, LLC is an adult mental health clinic center in Hamilton, OH. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. MODERN PSYCHIATRY & WELLNESS, LLC NPI is 1699251553. The provider is registered as an organization entity type.

The provider's business location address is:

1910 FAIRGROVE AVE STE E
HAMILTON, OH
ZIP 45011-930
Phone: (513) 795-7557
Fax: (513) 795-7518

The provider's authorized official is Susanna Marie Lozano .
The authorized official title is C.o.o. and has the following contact phone number (513) 299-4025.

The enumeration date for this NPI number is 7/13/2018 and was last updated on 10/27/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
2	261QH0100X	Clinic/Center	Health Service	No
3	324500000X	Substance Abuse Rehabilitation Facility		No
4	261QM0850X	Clinic/Center	Adult Mental Health	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0118852	MEDICAID	OHIO

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: 11/14/2023

NPI Synchronization or Removal

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