Individual provider Active NPI

Brianna Cassidy, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Mansfield, OH
National Provider Identifier
1003594623
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0034297 Issued in OH
Practice address
600 W 3Rd St
Mansfield, OH 44906-2633
Phone
(419) 522-6191
NPI assigned
Jul 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 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 APRN.CNP.0034297 OH Primary

Addresses

Primary practice location

600 W 3Rd St
Mansfield, OH 44906-2633

Mailing address

1404 Park Ave W
Ontario, OH 44906-2719

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
I20231004003695 OH Practitioner - Nurse Practitioner 9537514963 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Ohio State University College of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Third Street Community Clinic, Inc.Group PAC ID 2365423977, 29 clinicians

Practice addresses (Care Compare)

1404 Park Ave W
Suite 2
Mansfield, OH 44906-2633

600 W 3Rd St
Mansfield, OH 44906-2633
Phone (419) 522-6191

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0034297OHMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Third Street Community Clinic, Inc CurrentSince Jan 21, 2026 Accepting new patients
Third Street Community Clinic, Inc. Current Accepting new patients
Third Street Community Clinic, Inc. CurrentSince Sep 20, 2023 Accepting new patients
Third Street Community Clinic Inc CurrentSince Jan 21, 2026 Accepting new patients
Third Street Community Clinic, Inc. Past Accepting new patients

Locations

2458 Stetzer Rd
Unit A
Bucyrus, OH 44820
Phone (419) 834-8889

2458 Stetzer Rd
Bucyrus, OH 44820
Phone (419) 562-2000

205 W Cook Rd
Mansfield, OH 44907
Phone (567) 309-7333

320 Executive Dr
Marion, OH 43302
Phone (740) 387-5210

1404 Park Ave W
Ste 2
Ontario, OH 44906

600 W 3rd St
Ontario, OH 44906
Phone (419) 525-6722

2131 Park Ave W
Ste 200
Ontario, OH 44906
Phone (419) 525-6730

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1003594623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1404 PARK AVE W",
            "city": "ONTARIO",
            "state": "OH",
            "postal_code": "449062719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 W 3RD ST",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449062633",
            "telephone_number": "419-522-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASSIDY",
        "first_name": "BRIANNA",
        "credential": "APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-05",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0034297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

Verify at the official NPI Registry.