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Contact Information

NORTHERN KENTUCKY BEHAVIORAL, LLC
820 DOLWICK DRIVE
ERLANGER, KY41018
 Phone: 732-747-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatric Hospital

283Q00000X A0[7] Hospital-Psychiatric (PPS excluded)
 

Adolescent and Children Mental Health

261QM0855X
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for NORTHERN KENTUCKY BEHAVIORAL, LLC

NPI Number 1417486325
LBN Legal business name NORTHERN KENTUCKY BEHAVIORAL, LLC
Authorized official TOM ROURKE - (SENIOR VP FOR DEVELOPMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/06/2017
Last updated 05/18/2026 - About 3 weeks ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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