FAIRWAY BEHAVIORAL HEALTH, LLC
NPI 1780328344
Nurse Practitioner - Psychiatric/Mental Health in Wilmington, OH
About Fairway Behavioral Health, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAIRWAY BEHAVIORAL HEALTH, LLC (NPI 1780328344) is a healthcare organization registered as a psychiatric/mental health in Wilmington, Ohio and active in the NPI registry since April 2022. The organization holds a CLIA Waiver certificate valid through March 28, 2027 and lists Polly Vaughan, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted 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 36D2279116
Fairway Behavioral Health, LLC · Wilmington, OHOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILMINGTON, OH 45177
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 Fairway Behavioral Health, LLC's NPI number?
The NPI number for Fairway Behavioral Health, LLC is 1780328344. It was assigned to this organization in the NPPES registry on April 20, 2022.
Where is Fairway Behavioral Health, LLC located?
Fairway Behavioral Health, LLC is located at 140 Fairway Dr, Wilmington, OH 45177. The listed phone number is (937) 992-1057.
What is Fairway Behavioral Health, LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Does Fairway Behavioral Health, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 36D2279116) is associated with this NPI, valid through March 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Fairway Behavioral Health, LLC accept?
Health plans from Molina Healthcare list Fairway Behavioral Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Fairway Behavioral Health, LLC was last updated on April 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Fairway Behavioral Health, Llc · NPI 1780328344
Psychiatric/Mental Health organization in Wilmington, Ohio. Organization record, active in the CMS NPPES registry since April 20, 2022.
## Identity
- **NPI:** 1780328344 (Entity type: Organization)
- **Enumerated:** April 20, 2022
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Polly Vaughan, CEO
## Practice location
- **Address:** 140 FAIRWAY DR, Wilmington, OH 45177-8008
- **Phone:** (937) 992-1057
## Record status
- **NPPES last updated:** April 20, 2022
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1780328344) · Data from the CMS NPPES public registry.