# WHITE STONE PSYCHIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** White Stone Psychiatric Services, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891151304
- **Authorized official:** JEREMY CARPENTER MD (OWNER)
- **Authorized official phone:** (513) 673-6740

## Contact information

- **Practice address:** 5108 SANDY LN, FAIRFIELD, OH 45014-2738
- **Practice address phone:** (513) 234-5959
- **Mailing address:** 5108 SANDY LN, FAIRFIELD, OH 45014-2738
- **Mailing address phone:** (513) 234-5959

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YP2500X | Professional Counselor | — | NULL | — |
| 101YP2500X | Professional Counselor | — | — | — |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | NULL | Yes |
| 2084A0401X | Addiction Medicine (Psychiatry & Neurology) Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |
| 2084P0802X | Addiction Psychiatry Physician | — | NULL | — |
| 2084P0802X | Addiction Psychiatry Physician | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 367A00000X | Advanced Practice Midwife | — | NULL | — |
| 367A00000X | Advanced Practice Midwife | — | — | — |

## Other

- **Enumeration date:** 01/13/2016
- **Last updated:** 05/11/2016