Fairway Behavioral Health, LLC
NPI 1780328344 · Psychiatric/Mental Health Nurse Practitioner · Wilmington, OH
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fairway Behavioral Health, LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Wilmington, OH (NPI 1780328344).
Provider details
- NPI number
- 1780328344
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Polly Vaughan, Ceo(937) 838-9550
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-20
- Last updated
- 2022-04-20
- Certified
- 2022-04-20
Frequently asked questions
- What is Fairway Behavioral Health, LLC's NPI number?
- Fairway Behavioral Health, LLC's National Provider Identifier (NPI) is 1780328344, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairway Behavioral Health, LLC?
- Fairway Behavioral Health, LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fairway Behavioral Health, LLC located?
- Fairway Behavioral Health, LLC's practice location on file with NPPES is 140 Fairway Dr, Wilmington, OH 45177-8008.
- What is Fairway Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairway Behavioral Health, LLC is (937) 992-1057.
- Does Fairway Behavioral Health, LLC accept Medicare?
- Fairway Behavioral Health, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fairway Behavioral Health, LLC?
- The authorized official listed on Fairway Behavioral Health, LLC's NPPES record is Polly Vaughan, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairway Behavioral Health, LLC's NPI active?
- Yes — Fairway Behavioral Health, LLC's NPI (1780328344) is active in the NPPES registry as of the last update on 2022-04-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.