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  7. NPI Record 1164856811

BECKETT SPRINGS
Complete NPI Record 1164856811
Psychiatry & Neurology - Psychiatry in West Chester, OH

NPI Status: Active since August 29, 2013

Contact Information

8614 SHEPHERD FARM DR
WEST CHESTER, OH
ZIP 45069
Phone: (513) 942-9500
Fax: (513) 942-9591

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Table of Contents

  1. NPI
  2. Entity Type Code
  3. Employer Identification Number EIN
  4. Provider Organization Name Legal Business Name
  5. Provider Other Organization Name
  6. Provider Other Organization Name Type Code
  7. Provider First Line Business Mailing Address
  8. Provider Business Mailing Address City Name
  9. Provider Business Mailing Address State Name
  10. Provider Business Mailing Address Postal Code
  11. Provider Business Mailing Address Country Code If outside U S
  12. Provider Business Mailing Address Telephone Number
  13. Provider Business Mailing Address Fax Number
  14. Provider First Line Business Practice Location Address
  15. Provider Business Practice Location Address City Name
  16. Provider Business Practice Location Address State Name
  17. Provider Business Practice Location Address Postal Code
  18. Provider Business Practice Location Address Country Code If outside U S
  19. Provider Business Practice Location Address Telephone Number
  20. Provider Business Practice Location Address Fax Number
  21. Provider Enumeration Date
  22. Last Update Date
  23. Authorized Official Last Name
  24. Authorized Official First Name
  25. Authorized Official Middle Name
  26. Authorized Official Title or Position
  27. Authorized Official Telephone Number
  28. Healthcare Provider Taxonomy Code 1
  29. Provider License Number 1
  30. Provider License Number State Code 1
  31. Healthcare Provider Primary Taxonomy Switch 1
  32. Healthcare Provider Taxonomy Code 2
  33. Provider License Number 2
  34. Provider License Number State Code 2
  35. Healthcare Provider Primary Taxonomy Switch 2
  36. Healthcare Provider Taxonomy Code 3
  37. Provider License Number 3
  38. Provider License Number State Code 3
  39. Healthcare Provider Primary Taxonomy Switch 3
  40. Healthcare Provider Taxonomy Code 4
  41. Provider License Number 4
  42. Provider License Number State Code 4
  43. Healthcare Provider Primary Taxonomy Switch 4
  44. Healthcare Provider Taxonomy Code 5
  45. Provider License Number 5
  46. Provider License Number State Code 5
  47. Healthcare Provider Primary Taxonomy Switch 5
  48. Is Organization Subpart
  49. Parent Organization LBN
  50. Parent Organization TIN
  51. Authorized Official Name Prefix Text
  52. Authorized Official Credential Text
  53. Healthcare Provider Taxonomy Group 1
  54. Healthcare Provider Taxonomy Group 2
  55. Healthcare Provider Taxonomy Group 3
  56. Healthcare Provider Taxonomy Group 4
  57. Healthcare Provider Taxonomy Group 5

Complete NPI Dataset

This page represents the complete record for NPI 1164856811. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.

NPI: 1164856811
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
Entity Type Code: 2
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Employer Identification Number EIN: UNAVAIL
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
Provider Other Organization Name: BECKETT SPRINGS
Other name by which the organization provider is or has been known.
Provider Other Organization Name Type Code: 3
Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
Provider First Line Business Mailing Address: 8614 SHEPHERD FARM DR
The first line mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider first line location address’’.
Provider Business Mailing Address City Name: WEST CHESTER
The city name in the mailing address of the provider being identified.
Provider Business Mailing Address State Name: OH
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address State name’’.
Provider Business Mailing Address Postal Code: 450691128
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ‘‘Provider location address postal code’’.
Provider Business Mailing Address Country Code If outside U S : US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address country code’’.
Provider Business Mailing Address Telephone Number: 5139429500
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address telephone number’’.
Provider Business Mailing Address Fax Number: 5139429591
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ‘‘Provider location address fax number’’.
Provider First Line Business Practice Location Address: 8614 SHEPHERD FARM DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name: WEST CHESTER
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name: OH
The State code in the location of the provider being identified.
Provider Business Practice Location Address Postal Code: 450691128
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code If outside U S : US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number: 5139429500
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number: 5139429591
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date: 8/29/2013
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date: 8/29/2013
The date that a record was last updated or changed.
Authorized Official Last Name: WEST
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
Authorized Official First Name: DONNA
The first name of the authorized official.
Authorized Official Middle Name: SALEE
The middle name of the authorized official.
Authorized Official Title or Position: DIRECTOR OF LICENSE AND REGULATION
The title or position of the authorized official.
Authorized Official Telephone Number: 8125988989
The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code 1: 2084P0800X
Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
Provider License Number 1: 35088279
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 1: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 1: N
Healthcare Provider Taxonomy Code 2: 2084P0800X
Provider License Number 2: 35-050898
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 2: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 2: N
Healthcare Provider Taxonomy Code 3: 2084P0802X
Provider License Number 3: 35050898
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 3: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 3: N
Healthcare Provider Taxonomy Code 4: 363LF0000X
Provider License Number 4: COA05175NP
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 4: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 4: N
Healthcare Provider Taxonomy Code 5: 2084P0800X
Provider License Number 5: 35081126
The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
Provider License Number State Code 5: OH
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
Healthcare Provider Primary Taxonomy Switch 5: Y
Is Organization Subpart: Y
Parent Organization LBN: BECKETT SPRINGS, LLC
Parent Organization TIN: UNAVAIL
Authorized Official Name Prefix Text: MS.
Authorized Official Credential Text: RN
Healthcare Provider Taxonomy Group 1: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 2: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 3: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 4: 193200000X MULTI-SPECIALTY GROUP
Healthcare Provider Taxonomy Group 5: 193200000X MULTI-SPECIALTY GROUP