MEDICARE: SAPPHIRE MENTAL HEALTH, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1538017926
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAPPHIRE MENTAL HEALTH, LLC

Provider Business Mailing Address
First Line	:	465 HAWKING DR
Second Line	:
City	:	GALENA
State	:	OH
Zip	:	43021-2516
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	670 MERIDIAN WAY STE 265
Second Line	:
City	:	WESTERVILLE
State	:	OH
Zip	:	43082-2306
Country	:	US
Telephone Number	:	708-476-6849
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	AMY JOY WYNIA
Credential	:	LISW
Telephone Number	:	708-476-6849

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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