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 is a Psychiatry Physician 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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