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NORTHERN KENTUCKY BEHAVIORAL, LLC
NPI 1487570057
Psychiatry & Neurology - Psychiatry in Erlanger, KY

Active since June 26, 2026CLIA 18D2142287 · Waiver
820 DOLWICK DR, ERLANGER, KY 41018(859) 429-5188(859) 578-2875 Get Directions Write a Review

NPPES record last updated: June 26, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Northern Kentucky Behavioral, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHERN KENTUCKY BEHAVIORAL, LLC (NPI 1487570057) is a healthcare organization registered as a psychiatry in Erlanger, Kentucky and active in the NPI registry since June 2026. The organization holds a CLIA Waiver certificate valid through January 8, 2028 and lists Keanna Mcclendon, Director Of Provider Credentialing, as its authorized official.

NPPES Registry Identity

NPI1487570057
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNORTHERN KENTUCKY BEHAVIORAL, LLC
Location Address820 DOLWICK DRErlanger, KY 41018-2774
Mailing Address820 Dolwick DrErlanger, KY 41018-2774 · (859) 429-5188 · Fax (859) 578-2875
Phone(859) 429-5188
Fax(859) 578-2875
Organization SubpartNo
Authorized OfficialKeanna McclendonDirector Of Provider Credentialing · (678) 698-2070
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
✔ NPI 1487570057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
820 DOLWICK DR, Erlanger, KY 41018
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Northern Kentucky Behavioral, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

10

Medicare enrollment records show 10 clinicians reassign Medicare billing to Northern Kentucky Behavioral, LLC, which bills Medicare for the services they deliver. Of these, 10 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 2

Nurse Practitioner6
Psychiatry4

Clinicians, nearest first (10)

Marianne Adkins, APRN
Nurse Practitioner
NPI 1841908365
820 DOLWICK DR
Erlanger, KY 41018
(859) 301-5901
✔ PECOS✔ Accepts MedicareSame address
Anthony Alvarez, MD
Psychiatry
NPI 1407856057
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOSSame address
Lauren Bryan, APRN
Nurse Practitioner
NPI 1871152199
820 DOLWICK DR
Erlanger, KY 41018
(859) 301-5901
✔ PECOSSame address
Jason Gregg, APRN, DNP, PMHNP-BC
Nurse Practitioner
NPI 1518970961
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address
Kenneth Lin, M.D.
Psychiatry
NPI 1154685378
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address
Molly Lutz, APRN, MSN, PMHNP-BC
Nurse Practitioner
NPI 1821588476
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address
Jennifer Mullins, APRN
Nurse Practitioner
NPI 1174063234
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address
Brent Plummer, APRN, MSN, PMHNP-BC
Nurse Practitioner
NPI 1083107056
820 DOLWICK DR
Erlanger, KY 41018
(859) 429-5188
✔ PECOS✔ Accepts MedicareSame address
Vivekananda Rachamallu, MD
Psychiatry
NPI 1942687470
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address
Nelson Tauro, M.D.
Psychiatry
NPI 1922242841
820 DOLWICK DR
Erlanger, KY 41018
(859) 466-0115
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 18D2142287

Northern Kentucky Behavioral, LLC Dba Sun Behavioral Kentucky · Erlanger, KY
Active · expires Jan 8, 2028
CLIA Number18D2142287
Laboratory TypeHospital
Certificate Effective DateJanuary 9, 2026
Certificate Expiration DateJanuary 8, 2028
Laboratory DirectorMs. Terri Lynn Mccarley
Laboratory Phone(859) 429-5188
Laboratory LocationNorthern Kentucky Behavioral, LLC Dba Sun Behavioral Kentucky820 Dolwick Drive, Erlanger, KY 41018
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Northern Kentucky Behavioral, LLC's NPI number?

The NPI number for Northern Kentucky Behavioral, LLC is 1487570057. It was assigned to this organization in the NPPES registry on June 26, 2026.

Where is Northern Kentucky Behavioral, LLC located?

Northern Kentucky Behavioral, LLC is located at 820 Dolwick Dr, Erlanger, KY 41018. The listed phone number is (859) 429-5188.

What is Northern Kentucky Behavioral, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Northern Kentucky Behavioral, LLC enrolled in Medicare?

Yes. Northern Kentucky Behavioral, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Northern Kentucky Behavioral, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 2 Medicare specialties reassign their Medicare billing to Northern Kentucky Behavioral, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (6) and Psychiatry (4). Of these, 10 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Northern Kentucky Behavioral, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 18D2142287) is associated with this NPI, valid through January 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Northern Kentucky Behavioral, LLC was last updated on June 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.