Songbird Psychiatric and Recovery Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SONGBIRD PSYCHIATRIC AND RECOVERY SERVICES LLC

Practice address

159 Crocker Park Blvd FL 4
Westlake, OH 44145-8131

Phone

(216) 536-6137

NPI assigned

Jul 12, 2023

Last updated

Jul 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelly D Brill, APRN, PMHNP-BCNPI 1275206039

Title

Ceo

Phone

(440) 864-2802

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly D Brill, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Westlake, OH
  • NPI 1275206039
  Medicare reassignment NPD Authorized official
• Tera Ann Baldwin, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • North Ridgeville, OH
  • NPI 1245109503
  Medicare reassignment NPD
• Nicole Naso, LPCC

  • Mental Health Counselor
  • Shaker HTS, OH
  • NPI 1487953493
  NPD (past)

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1023797586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD STE 400",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458147",
            "telephone_number": "440-864-2802",
            "fax_number": "440-287-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 CROCKER PARK BLVD FL 4",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458131",
            "telephone_number": "216-536-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONGBIRD PSYCHIATRIC AND RECOVERY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "BRILL",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-864-2802",
        "authorized_official_credential": "APRN, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0459960",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solamor Hospice Corporation
• Shanelle Solgos, DC
• Amr Soliman, MD
• Tosca Dominique Solomon
• Emily Soltes, DPT
• Andrea G Sonnie, LISW-S
• Debra Jean Sorg, APRN
• Angelique Souris, RBT
• Brendan Southam, M.D.
• Southwest Cleveland Sleep Center, Inc

• Psychiatric/Mental Health Nurse Practitioner in Westlake, OH
• Providers in Westlake, OH by specialty
• Psychiatric/Mental Health Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.