Healthcare Provider Details

I. General information

NPI: 1225902455
Provider Name (Legal Business Name): HEALTHMATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

580 LINCOLN PARK BLVD STE 344
KETTERING OH
45429-3493
US

IV. Provider business mailing address

4085 PEPPERWELL CIR
DAYTON OH
45440-3749
US

V. Phone/Fax

Practice location:
  • Phone: 937-681-5996
  • Fax:
Mailing address:
  • Phone: 937-542-9246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: STEVEN MATES
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 937-542-9246