OWLBRIDGE WELLNESS - NPI 1518587997 - Nurse Practitioner in Middletown, OH

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

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About Owlbridge Wellness NPPES

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

OWLBRIDGE WELLNESS (NPI 1518587997) is a healthcare organization registered as a psychiatric/mental health in Middletown, Ohio and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through December 29, 2026 and lists Lavinda C Mcauliffe, Owner, as its authorized official.

NPPES Registry Identity

NPI1518587997

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameOWLBRIDGE WELLNESS

Location Address6730 ROOSEVELT AVE STE 201Middletown, OH 45005-5730

Mailing Address6730 Roosevelt Ave Ste 201Middletown, OH 45005-5730 · (513) 279-8035 · Fax (513) 318-7386

Phone(513) 279-8035

Fax(513) 318-7386

Organization SubpartNo

Authorized OfficialLavinda C McauliffeOwner · (513) 279-8035

Enumeration DateApril 25, 2020

Last NPPES UpdateJuly 30, 20255 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1518587997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

6730 ROOSEVELT AVE STE 201, Middletown, OH 45005

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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 36D2316175

Owlbridge Wellness · Middletown, OH

Active · expires Dec 29, 2026

CLIA Number36D2316175

Laboratory TypePhysician Office

Certificate Effective DateDecember 30, 2024

Certificate Expiration DateDecember 29, 2026

Laboratory DirectorIrfan Dahar

Laboratory Phone(513) 279-8035

Laboratory LocationOwlbridge Wellness6730 Roosevelt Avenue, Suite 201, Middletown, OH 45005

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLIE COLLINS

Nurse Practitioner (Psychiatric/Mental Health)