| Keystone Mental Health, Inc. | |
|
7625 Hospital Dr Dublin OH 43016-9649 | |
| (614) 717-1800 | |
| Not Available |
| Full Name | Keystone Mental Health, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 7625 Hospital Dr, Dublin, Ohio |
| Authorized Official Name and Position | Ivana Balic (OWNER) |
| Authorized Official Contact | 6147171800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Keystone Mental Health, Inc. Po Box 4036 Dublin OH 43016-1303 Ph: () - | Keystone Mental Health, Inc. 7625 Hospital Dr Dublin OH 43016-9649 Ph: (614) 717-1800 |
| NPI Number | 1538618715 |
|---|---|
| Provider Enumeration Date | 09/28/2016 |
| Last Update Date | 01/15/2020 |
| Certification Date | 01/15/2020 |
| Medicare PECOS PAC ID | 9234417379 |
|---|---|
| Medicare Enrollment ID | O20161025001497 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538618715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 35.124474 (Ohio) | Primary |
| Provider Name | Ivana Balic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386824167 PECOS PAC ID: 4385814045 Enrollment ID: I20141216001852 |
| Provider Name | Laura S Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639739212 PECOS PAC ID: 5496085482 Enrollment ID: I20190917003415 |
| Provider Name | Patience Chiedza Okoroafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720385271 PECOS PAC ID: 2466821475 Enrollment ID: I20221214002352 |
| Provider Name | Amy Caroline Brinda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083398481 PECOS PAC ID: 5092177147 Enrollment ID: I20230822000672 |
| Provider Name | Steven Daniel Wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700657533 PECOS PAC ID: 4284073883 Enrollment ID: I20240416001025 |
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