| New Pathways Cincinnati LLC | |
|
10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 | |
| (513) 982-6077 | |
| (513) 880-0671 |
| Full Name | New Pathways Cincinnati LLC |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 10547 Montgomery Rd Ste 400, Montgomery, Ohio |
| Authorized Official Name and Position | Lynn Nguyen (OWNER) |
| Authorized Official Contact | 4054101585 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Pathways Cincinnati LLC 10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 Ph: (513) 982-6077 | New Pathways Cincinnati LLC 10547 Montgomery Rd Ste 400 Montgomery OH 45242-4418 Ph: (513) 982-6077 |
| NPI Number | 1457139537 |
|---|---|
| Provider Enumeration Date | 09/19/2023 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Medicare PECOS PAC ID | 1254786049 |
|---|---|
| Medicare Enrollment ID | O20231013003220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457139537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (NU) | Primary |
| Provider Name | Antennie D Auld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619499076 PECOS PAC ID: 5496021750 Enrollment ID: I20171101000936 |
| Provider Name | Courtney Mckee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568291466 PECOS PAC ID: 9335670397 Enrollment ID: I20241001002123 |
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