| Sirona Mental Wellness, Llc | |
|
8200 Beckett Park Dr West Chester OH 45069-9310 | |
| (513) 991-7007 | |
| (513) 609-4558 |
| Full Name | Sirona Mental Wellness, Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 8200 Beckett Park Dr, West Chester, Ohio |
| Authorized Official Name and Position | Cathleen Mcknight (NURSE PRACTITIONER) |
| Authorized Official Contact | 5135936601 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sirona Mental Wellness, Llc 3587 Lees Ford Ln Hamilton OH 45011-2103 Ph: (513) 593-6601 | Sirona Mental Wellness, Llc 8200 Beckett Park Dr West Chester OH 45069-9310 Ph: (513) 991-7007 |
| NPI Number | 1437840808 |
|---|---|
| Provider Enumeration Date | 05/17/2023 |
| Last Update Date | 05/17/2023 |
| Certification Date | 05/17/2023 |
| Medicare PECOS PAC ID | 9234670811 |
|---|---|
| Medicare Enrollment ID | O20240923003320 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437840808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Primary |
| Provider Name | Cathleen A Mcknight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174830590 PECOS PAC ID: 1052508744 Enrollment ID: I20101207000859 |
| Provider Name | Jordan E Haire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780129064 PECOS PAC ID: 4789125360 Enrollment ID: I20240923003412 |
| Provider Name | Josie R Muterspaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336383827 PECOS PAC ID: 7517408057 Enrollment ID: I20240924001835 |
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