Healthcare Provider Details

I. General information

NPI: 1861305211
Provider Name (Legal Business Name): NORDYKE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2026
Last Update Date: 09/25/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8044 MONTGOMERY RD SUITE 765
CINCINNATI OH
45236-2926
US

IV. Provider business mailing address

8044 MONTGOMERY RD STE 700
CINCINNATI OH
45236-2926
US

V. Phone/Fax

Practice location:
  • Phone: 513-440-3866
  • Fax:
Mailing address:
  • Phone: 513-440-3866
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ZACHARY W NORDYKE
Title or Position: CEO & AUTHORIZED OFFICIAL
Credential:
Phone: 513-623-8422