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

Momentum Behavioral Health Group LLC

Organization Medical Physician Assistant · NPI 1538010236

Momentum Behavioral Health Group LLC is a Medical Physician Assistant in New Albany, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3211 Grant Line Rd Ste 15
New Albany, IN 47150-2175
Phone: (812) 221-1186
Fax: (949) 882-0452
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Medical Physician Assistant Taxonomy 363AM0700X

Record details

NPI number1538010236
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirsten Dericks — Provider · (812) 221-1186
NPI enumeratedFebruary 7, 2026
Last updated in NPPESFebruary 11, 2026
Certification dateFebruary 11, 2026
Mailing address4510 Charlestown Rd, Pmb #110, New Albany, IN 47150-8513

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