Provider Demographics
NPI:1417641994
Name:MESMERIZE PSYCHIATRIC SERVICES L.L.C.
Entity Type:Organization
Organization Name:MESMERIZE PSYCHIATRIC SERVICES L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MESSMER
Authorized Official - Suffix:
Authorized Official - Credentials:PMHNP
Authorized Official - Phone:614-407-5152
Mailing Address - Street 1:1032 S REMINGTON RD
Mailing Address - Street 2:
Mailing Address - City:BEXLEY
Mailing Address - State:OH
Mailing Address - Zip Code:43209-2460
Mailing Address - Country:US
Mailing Address - Phone:614-499-3200
Mailing Address - Fax:
Practice Address - Street 1:4770 INDIANOLA AVE STE 111
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-1862
Practice Address - Country:US
Practice Address - Phone:614-407-5152
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-07
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty