Individual provider Active NPI

David Stabler, APRN-PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, OH
National Provider Identifier
1003562604
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0030798 Issued in OH
Practice address
14805 Detroit Ave Ste 250
Lakewood, OH 44107-3924
Phone
(216) 250-4937
Fax
(216) 516-0471
NPI assigned
Feb 23, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0030798 OH Primary

Addresses

Primary practice location

14805 Detroit Ave Ste 250
Lakewood, OH 44107-3924

Mailing address

14805 Detroit Ave Ste 250
Lakewood, OH 44107-3924
Phone (216) 250-4937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220430000251 OH Practitioner - Nurse Practitioner 8820485352 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0030798OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signature Health Inc CurrentSince May 13, 2023 Accepting new patients
Signature Health, Inc. Current Accepting new patients
University Hospitals Medical Group Inc CurrentSince May 8, 2022 Accepting new patients
Signature Health, Inc CurrentSince May 13, 2023 Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

10524 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-3881

11100 Euclid Ave
Cleveland Heights, OH 44106

21100 Southgate Park Blvd
Maple Heights, OH 44137
Phone (216) 663-6100

7232 Justin Way
Mentor, OH 44060
Phone (440) 488-2855

38882 Mentor Ave
Willoughby, OH 44094

38876 Mentor Ave
Willoughby, OH 44094
Phone (440) 954-3333

Interoperability endpoints

  • Direct secure messaging: dstabler27794@ehrdirect.uhhospitals.org
  • Direct secure messaging: dstabler605555@direct.ochin.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1003562604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073924",
            "telephone_number": "216-250-4937",
            "fax_number": "216-516-0471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14805 DETROIT AVE STE 250",
            "city": "LAKEWOOD",
            "state": "OH",
            "postal_code": "441073924",
            "telephone_number": "216-250-4937",
            "fax_number": "216-516-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STABLER",
        "first_name": "DAVID",
        "credential": "APRN-PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-23",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "0030798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, OH

Sources for this page

Verify at the official NPI Registry.