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NPI Code Detail

MEDICARE: DEVIN NYHART

MEDICARE: DEVIN NYHART
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
1101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.178269OH
2101YA0400XAddiction (Substance Use Disorder) CounselorCDCA.182268OH
3101YA0400XAddiction (Substance Use Disorder) CounselorLCDCIII.162807OH

General Provider Information

NPI Number : 1871256727
Entity Type Code : Individual
Provider Name (Legal Business Name) : DEVIN NYHART
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 580 PARK AVE W
Second Line :
City : MANSFIELD
State : OH
Zip : 44906-3722
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2021
Last Update Date : 01/31/2025

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