MODERN PSYCHIATRY AND WELLNESS LLC (NPI# 1225260888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225260888 |
| Entity Type | Organization |
| Organization Name | MODERN PSYCHIATRY AND WELLNESS LLC |
| Practice Address |
1910 Fairgrove Ave Ste E Hamilton OH 45011-1930 |
| Practice Telephone | 5137957557 |
| Practice Fax Number | 5132977577 |
| Mailing Telephone | 5137957557 |
| Mailing Fax Number | 5132977577 |
| Enumeration Date | 2009-08-17 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. QUINTON MOSS (CEO) |
| Authorized Official Telephone | 5138680055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2444144 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S Erie Hwy, Hamilton, OH 450114315 | 5137957557 | 5137957518 |
| 550 S. 12th St., Hamilton, OH 45011 | 5137957557 | 5137957518 |
| 673 Stubbs Mill Rd., Lebanon, OH 45036 | 5139323363 | |
| 6942 Tylersville Road, West Chester, OH 45069 | 5138680055 | 5132977577 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MODERN PSYCHIATRY AND WELLNESS LLC | 621 S Erie Hwy, Hamilton, OH 45011-4315 |
| Street Address |
1910 FAIRGROVE AVE STE E |
| City | HAMILTON |
| State | OH |
| Zip Code | 45011-1930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306993985 | Quinton E Moss | Psychiatry & Neurology | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2007-01-04 |
| 1609476928 | Sarah Tasseff | Case Manager/Care Coordinator | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2020-10-27 |
| 1619574944 | John Bohlen | Case Manager/Care Coordinator | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2020-10-09 |
| 1174177687 | Rachel Plaugher | Counselor | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2019-08-01 |
| 1699251553 | Modern Psychiatry & Wellness, LLC | Clinic/Center | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2018-07-13 |
| 1730671447 | Lori Ann Kees | Social Worker | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2018-05-30 |
| 1992293583 | Johnny Bennett | Counselor | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2018-04-29 |
| 1427592435 | Brice Henry | Counselor | 1910 Fairgrove Ave Ste E, Hamilton, OH 45011-1930 | 2016-12-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831702000 | Trisha Sue Allen | Case Manager/Care Coordinator | Sojourner Recovery Services, 515 Dayton Street, Hamilton, OH 45011 | 2020-08-27 |
| 1235755158 | Toika Thompson | Community Health Worker | 614 S 4th St, Hamilton, OH 45011 | 2020-06-17 |
| 1912477589 | Bernice Lorene Garrison | Registered Nurse | 621 S. Erie Boulevard, Hamilton, OH 45011 | 2018-11-27 |
| 1811465040 | Delanie Darcelle Kidd | Counselor | 515 High Street, Hamilton, OH 45011 | 2018-11-06 |
| 1386128288 | Matthew Smith | Counselor | 621 E Erie Highway, Hamilton, OH 45011 | 2018-09-18 |
| 1912485863 | Heavens Quest LLC | Home Health | 415 North Erie Blvd, Hamilton, OH 45011 | 2018-08-02 |
| 1326532748 | Margaret Phillips | Nurse Practitioner | 5290 Poets Way, Liberty Twp, OH 45011 | 2018-06-19 |
| 1891284386 | Myles Evan Silas | Counselor | 1210 N W Washington Blvd #4, Hamilton, OH 45011 | 2018-05-09 |
| 1295223436 | Taylor Guecking | Counselor | 621 South Erie Highway, Hamilton, OH 45011 | 2018-04-24 |
| 1790282069 | Leroy Thomas Brown | Counselor | 621 South Erie Blvd, Hamilton, OH 45011 | 2018-04-12 |
| Find all providers in zip 45011 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
| 1639228893 | Hhbh | Clinic/Center | 1 Electronics Dr, Hamilton, NJ 08619-2054 | 2007-01-09 |
| 1053955096 | Mind Your Mind | Clinic/Center | 2083 Klockner Rd, Hamilton, NJ 08690-3415 | 2019-11-02 |
| 1972150159 | Vital Signs Consulting Services Inc | Clinic/Center | 1457 Nottingham Way, Hamilton, NJ 08609 | 2019-08-21 |
| 1497128623 | George Stephen Hyatt Gateway Counseling, LLC | Clinic/Center | 20 High St, Ste 119, Hamilton, OH 45011-2709 | 2015-11-10 |
| 1235564360 | Medallion Care Trenton | Clinic/Center | 1 Electronics Dr, Hamilton, NJ 08619-2054 | 2013-09-09 |
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| 1598380453 | Courage To Heal Counseling LLC | Clinic/Center | 304 S Court St Ste A, Circleville, OH 43113-1604 | 2020-06-16 |
| 1477178846 | Small Behavioral Health Counseling | Clinic/Center | 1213 Coventry St, Akron, OH 44306-2229 | 2020-06-11 |
| 1265055693 | Sola Caritas | Clinic/Center | 2967 W 38th St, Cleveland, OH 44113-4803 | 2020-05-20 |
| 1417570946 | Flourish Counseling, LLC | Clinic/Center | 24757 Hawthorne Dr, Beachwood, OH 44122-2317 | 2020-05-19 |
| 1346869682 | 2020 Life Counseling LLC | Clinic/Center | 21724 Lorain Rd Ste 8, Fairview Park, OH 44126-3334 | 2020-04-15 |
| 1306407887 | Freedom Counseling, Coaching, and Consulting, LLC | Clinic/Center | 2174 Kelley Ln, Newark, OH 43055-8057 | 2019-06-25 |
| 1255997599 | Jana Bergfeld Lisw LLC | Clinic/Center | 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 | 2019-05-13 |
| 1861056921 | Mobile Physician Services Inc. | Clinic/Center | 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.