MODERN PSYCHIATRY AND WELLNESS LLC – Adult Mental Health Clinic/Center, NPI 1225260888
Adult Mental Health Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MODERN PSYCHIATRY AND WELLNESS LLC
621 S Erie Hwy
Hamilton, OH 450114315
Phone: (513) 795-7557
Fax: (513) 795-7518
Type: Location
673 Stubbs Mill Rd.
Lebanon, OH 45036
Phone: (513) 932-3363
Type: Location
550 S. 12th St.
Hamilton, OH 45011
Phone: (513) 795-7557
Fax: (513) 795-7518
Type: Location
6942 Tylersville Road
West Chester, OH 45069
Phone: (513) 868-0055
Fax: (513) 297-7577
Type: Location
Fairgrove Avenue, Fordson Heights, Hamilton, Butler County, Ohio, 45011, United States
HAMILTON, OH 450111930
Phone: (513) 795-7557
Fax: (513) 297-7577
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2013-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-06-30 (712 days ago).
Enrollment records
1
Earliest due date
2024-06-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20130117000157 | O | Clinic/Group Practice | OH | 2024-06-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 45011)
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