Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Licking Memorial Professional Corporation

Organization Psychiatry Physician · NPI 1932149150

Licking Memorial Professional Corporation provides Psychiatry Physician services in Newark, Ohio. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

200 Messimer Dr
Newark, OH 43055-3627
Phone: (740) 348-4870
Fax: (740) 348-4871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1932149150
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Montagnese — Executive Vice President · (740) 348-4000
Other names Licking Memorial Behavioral Health
NPI enumeratedJune 7, 2006
Last updated in NPPESAugust 22, 2020
Mailing address200 Messimer Dr, Newark, OH 43055-3627

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