Beacon St. Psychiatry
Beacon St. Psychiatry is a healthcare organization registered as Psychiatric/Mental Health Nurse Practitioner in Centerville, OH, holding Type 2 (organization) NPI 1780460006 since 2023. The authorized official on file is Brad Gibson, Ceo/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780460006 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beacon St. Psychiatry |
| Other name | <Unavail> |
| Practice address | 10552 SUCCESS LN STE L, Centerville, OH, 45458 |
| Phone | 9372805711 |
| Enumeration date | 2023-09-01 |
| Last updated in NPPES | 2024-01-24 |
Authorized official
| Name | Brad Gibson |
|---|---|
| Title | Ceo/Owner |
| Phone | 9372805711 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | Primary | — | — |
Copy-ready billing details
Provider: Beacon St. Psychiatry NPI: 1780460006 Taxonomy: 363LP0808X (Psychiatric/Mental Health Nurse Practitioner) Address: 10552 SUCCESS LN STE L, Centerville, OH, 45458
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205449261 | Brad Gibson | Individual | Psychiatric/Mental Health Nurse Practitioner | Centerville, OH |
| 1821757931 | Nicole Watts | Individual | Phlebotomy Technician | Centerville, OH |
Verify this record
Cross-check NPI 1780460006 against the authoritative CMS record: view Beacon St. Psychiatry on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is the NPI number for Beacon St. Psychiatry?
Who is the authorized official for Beacon St. Psychiatry?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-01-24.