Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Licking Memorial Professional Corp.

Psychiatry Physician in Pataskala, OH · enumerated 2006 · authorized official Robert Montagnese, Executive Vice President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1295809614

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Registry record

Entity type Organization (Type 2)

Legal business name Licking Memorial Professional Corp.

Other name <Unavail>

Practice address 1 Healthy Pl, Suite 105, Pataskala, OH, 43062

Phone (740) 348-1930

Fax (740) 348-1931

Enumeration date Nov 17, 2006

Last updated in NPPES Aug 22, 2020

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Robert Montagnese

Title Executive Vice President

Phone (740) 348-4000

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Licking Memorial Professional Corp. located?

The practice location on file with NPPES is in Pataskala, OH.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.