| Cultivate Psychiatry And Wellness | |
|
4034 N Hampton Dr Powell OH 43065-8445 | |
| (614) 588-8131 | |
| (330) 776-5557 |
| Full Name | Cultivate Psychiatry And Wellness |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4034 N Hampton Dr, Powell, Ohio |
| Authorized Official Name and Position | John Aziz (OWNER) |
| Authorized Official Contact | 7409011174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cultivate Psychiatry And Wellness 4034 N Hampton Dr Powell OH 43065-8445 Ph: (740) 901-1174 | Cultivate Psychiatry And Wellness 4034 N Hampton Dr Powell OH 43065-8445 Ph: (614) 588-8131 |
| NPI Number | 1659147635 |
|---|---|
| Provider Enumeration Date | 11/30/2023 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 0648618025 |
|---|---|
| Medicare Enrollment ID | O20240404000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659147635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | John J Aziz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679592075 PECOS PAC ID: 4385685221 Enrollment ID: I20060918000310 |
| Provider Name | Kinsey Kay Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013502210 PECOS PAC ID: 6608279146 Enrollment ID: I20210721004138 |
| Provider Name | Eva Fowler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598464778 PECOS PAC ID: 9537506431 Enrollment ID: I20240327003611 |
| Provider Name | Rachael Faris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881475309 PECOS PAC ID: 1153760640 Enrollment ID: I20240417000356 |
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