WHITE STONE PSYCHIATRIC SERVICES NPI 1891151304

NPI Information

  • NPI: 1891151304
  • Provider Name: WHITE STONE PSYCHIATRIC SERVICES
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Other Name: WHITE STONE PSYCHIATRIC SERVICES, LLC
  • Address: 5108 SANDY LN
    FAIRFIELD, OH
    ZIP 45014
  • Phone: (513) 234-5959

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NPI Details

WHITE STONE PSYCHIATRIC SERVICES is an addiction medicine psychiatry neurology in Fairfield, OH. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine WHITE STONE PSYCHIATRIC SERVICES NPI is 1891151304. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is White Stone Psychiatric Services, Llc.

The provider's business location address is:

5108 SANDY LN
FAIRFIELD, OH
ZIP 45014-738
Phone: (513) 234-5959

The provider's authorized official is Jeremy Carpenter .
The authorized official title is Owner and has the following contact phone number (513) 673-6740.

The enumeration date for this NPI number is 1/13/2016 and was last updated on 5/11/2016.

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 License Number License State Primary
1367A00000XAdvanced Practice MidwifeNo
2363LF0000XNurse PractitionerFamilyNo
32084P0802XPsychiatry & NeurologyAddiction PsychiatryNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
52084A0401XPsychiatry & NeurologyAddiction MedicineYes
6101YP2500XCounselorProfessionalNo

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
10156279MEDICAIDOHIO

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: 11/21/2025

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