Healthcare Provider Details

I. General information

NPI: 1396558342
Provider Name (Legal Business Name): PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 W WALNUT ST
FELICITY OH
45120
US

IV. Provider business mailing address

PO BOX 502
FELICITY OH
45120-0502
US

V. Phone/Fax

Practice location:
  • Phone: 513-560-1023
  • Fax: 513-278-8748
Mailing address:
  • Phone: 513-560-1023
  • Fax: 513-278-8748

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: KELLY AUSMAN
Title or Position: CEO
Credential: NP
Phone: 513-703-5027