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MOMENTUM BEHAVIORAL HEALTH GROUP LLC
NPI 1538010236
Nurse Practitioner - Psychiatric/Mental Health in New Albany, IN

Active since February 07, 2026CLIA 15D2339747 · Waiver
3211 GRANT LINE RD STE 15, NEW ALBANY, IN 47150(812) 221-1186(949) 882-0452 Get Directions Write a Review

NPPES record last updated: February 11, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Momentum Behavioral Health Group Llc NPPES

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

MOMENTUM BEHAVIORAL HEALTH GROUP LLC (NPI 1538010236) is a healthcare organization registered as a psychiatric/mental health in New Albany, Indiana and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Kirsten Bailey Dericks, Provider, as its authorized official.

NPPES Registry Identity

NPI1538010236
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOMENTUM BEHAVIORAL HEALTH GROUP LLC
Location Address3211 GRANT LINE RD STE 15New Albany, IN 47150-2175
Mailing Address4510 Charlestown Rd, Pmb #110New Albany, IN 47150-8513 · (812) 221-1186 · Fax (949) 882-0452
Phone(812) 221-1186
Fax(949) 882-0452
Organization SubpartNo
Authorized OfficialKirsten Bailey DericksProvider · (812) 221-1186
Enumeration DateFebruary 7, 2026
Last NPPES UpdateFebruary 11, 2026
NPPES CertifiedFebruary 11, 2026
✔ NPI 1538010236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
3211 GRANT LINE RD STE 15, New Albany, IN 47150
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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

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 15D2339747

Momentum Behavioral Health Group LLC · New Albany, IN
Active · expires Mar 5, 2028
CLIA Number15D2339747
Laboratory TypePractitioner Other
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorNatalie Stone
Laboratory Phone(812) 221-1186
Laboratory LocationMomentum Behavioral Health Group LLC3211 Grant Line Rd Ste 15, New Albany, IN 47150
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 16

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

DEANNA ROBINSON PRELLWITZ
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
JULIA SMITH
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
KATHERINE A HOUGH B.A.
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
JENNIFER E REID BS
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
KEITHA PINSON BA
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
STEFANIE PROVOST
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
MEGAN DENOBILE BS
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830
MICHAEL MCCLOUD
Behavior Analyst
3211 GRANT LINE RD STE 15
NEW ALBANY, IN 47150
Floyd County (502) 417-9830

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 Momentum Behavioral Health Group LLC's NPI number?

The NPI number for Momentum Behavioral Health Group LLC is 1538010236. It was assigned to this organization in the NPPES registry on February 7, 2026.

Where is Momentum Behavioral Health Group LLC located?

Momentum Behavioral Health Group LLC is located at 3211 Grant Line Rd Ste 15, New Albany, IN 47150. The listed phone number is (812) 221-1186.

What is Momentum Behavioral Health Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Momentum Behavioral Health Group LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2339747) is associated with this NPI, valid through March 5, 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 Momentum Behavioral Health Group LLC was last updated on February 11, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.