| Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC | |
| 161 Clint Dr Ste 200, Pickerington, OH 43147-7794 | |
| (614) 705-6161 | |
| (614) 705-6151 | 
| Full Name | Mamadou Saliou Diallo | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Practitioner - Family | 
| Location | 161 Clint Dr Ste 200, Pickerington, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1922594746 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | CNP023055 (Ohio) | Secondary | 
| 363LF0000X | Nurse Practitioner - Family | 023055 (Ohio) | Primary | 
| Entity Name | Moon Family & Behavioral Health Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1902512122 PECOS PAC ID: 2062887284 Enrollment ID: O20230331000508 | 
| Entity Name | Recovery Innovations Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1376254128 PECOS PAC ID: 1456500628 Enrollment ID: O20241018001171 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC 161 Clint Dr Ste 200, Pickerington, OH 43147-7794 Ph: () - | Mamadou Saliou Diallo, DNP, FNP-BC,PMHNP-BC 161 Clint Dr Ste 200, Pickerington, OH 43147-7794 Ph: (614) 705-6161 | 
| Mrs. Halimat Adenike Oyabambi, RN, BSN, MSN, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 204 Mackenzie Dr, Pickerington, OH 43147 Phone: 973-489-0436 | |
| Hilary Fulk, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3359 Stadler Dr, Pickerington, OH 43147 Phone: 740-503-3440 | |
| Lacie J Hoyt, APRN, CNP-FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 402 Wooster St, Pickerington, OH 43147 Phone: 740-223-5098 | |
| Sarah Marshall,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Hill Rd N, Pickerington, OH 43147 Phone: 614-866-7076 | |
| Sarah Lynn George, APRN.FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 38 E Columbus St, Pickerington, OH 43147 Phone: 614-920-9902 Fax: 614-920-9905 | |
| Sarah Hyatt,  Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1010 Refugee Rd, Pickerington, OH 43147 Phone: 614-788-4000 | |
| Cynthia Kathleen Doughty, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1025 Refugee Rd Fl 2, Pickerington, OH 43147 Phone: 614-293-8617 Fax: 614-685-5246 |